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Pennsylvania rates for HCPCS E1020

Residual limb support system for wheelchair, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $116.76 / $145.94
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $169.68 / $201.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $123.98 / $195.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $123.98 / $314.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.52 / $187.52 / $203.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $174.65 / $174.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $116.77 / $175.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $123.98 / $195.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $123.98 / $314.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.10 / $216.34 / $364.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.90 / $130.21 / $255.58