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Pennsylvania rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.27 / $268.14 / $335.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $388.64 / $510.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $172.77 / $740.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.25 / $319.25 / $351.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.27 / $268.14 / $335.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $172.77 / $740.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.76 / $485.80 / $485.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.69 / $231.77 / $460.08