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Pennsylvania rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $97.73 / $140.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $141.63 / $186.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.41 / $134.41 / $253.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $134.41 / $317.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.28 / $189.28 / $205.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $99.91 / $166.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.41 / $134.41 / $253.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $134.41 / $317.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.99 / $177.05 / $195.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $92.80 / $154.66