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Pennsylvania rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $42.44 / $54.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $70.73 / $78.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $100.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $128.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $78.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $55.02 / $58.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $42.43 / $56.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $100.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $36.61 / $128.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.66 / $77.09 / $83.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.85 / $45.12 / $81.56