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Pennsylvania rates for HCPCS E0967

Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $44.92 / $57.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $65.27 / $84.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $127.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $37.68 / $127.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.77 / $77.77 / $84.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.65 / $54.65 / $54.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $46.93 / $60.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $127.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $67.81 / $127.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.58 / $81.59 / $83.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $45.66 / $76.27