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Pennsylvania rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.65 / $720.12 / $887.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.06 / $1,043.68 / $1,370.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $305.64 / $1,687.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.65 / $720.12 / $887.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $359.59 / $1,687.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.30 / $1,304.59 / $1,304.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.54 / $585.55 / $1,052.83