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Pennsylvania rates for HCPCS E1016

Shock Absorber For Manual Wheelchair, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $69.69 / $89.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $101.26 / $125.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $104.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $196.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $115.75 / $125.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $69.69 / $95.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $104.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $196.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $126.58 / $139.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $78.56 / $142.09