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Pennsylvania rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.16 / $72.64 / $95.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $119.43 / $132.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $215.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $122.08 / $132.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.49 / $95.49 / $95.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.16 / $76.27 / $116.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $215.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.59 / $131.94 / $145.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $78.11 / $124.12