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Wheelchair Accessory, Ventilator Tray, Gimbaled

Pennsylvania rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Rates data updated October 2026.

How much does Wheelchair Accessory, Ventilator Tray, Gimbaled cost?

$813

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $776 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$692 to $1,072
FacilityA hospital or hospital-owned outpatient department$776$603 to $4,898

How much rates vary

Facilitymedian $776 · 10th to 90th $603 to $7,079Professionalmedian $813 · 10th to 90th $513 to $1,349
$200$1K$5K$20Kfacility $776professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$831.76
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$575.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$1,071.52
Typical High
$1,412.54
Capital Blue Cross
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$660.69
Median
$660.69
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$131.83
Median
$131.83
Typical High
$144.54
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Geisinger
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$794.33
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$85.11
Median
$100.00
Typical High
$144.54
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$489.78
Median
$489.78
Typical High
$602.56
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$575.44
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$4,570.88
Typical High
$7,762.47
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$77.62
Median
$457.09
Typical High
$776.25
UPMC Health Plan
Setting
Facility
Modifier
UE · Used equipment
Typical Low
$758.58
Median
$3,388.44
Typical High
$5,888.44
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$1,348.96
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$77.62
Median
$102.33
Typical High
$102.33
UPMC Health Plan
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$758.58
Median
$758.58
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$1,174.90
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$52.48
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$389.05
Median
$524.81
Typical High
$870.96

Where Pennsylvania sits

The same service costs 9.5 times more in North Dakota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 30th of 51

$813

ND $1,622MS $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.