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Pennsylvania rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.86 / $3,027.18 / $3,783.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $4,399.43 / $5,805.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $8,414.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.86 / $3,100.02 / $4,399.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $8,414.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,192.18 / $5,499.30 / $5,499.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.73 / $3,111.83 / $5,362.76