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Pennsylvania rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $16.73 / $21.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $24.24 / $31.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $38.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $47.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $28.63 / $31.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $23.87 / $23.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $16.73 / $22.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $38.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $47.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $29.62 / $30.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $17.21 / $29.11