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Pennsylvania rates for HCPCS E1086

Hemi-wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.79 / $477.87 / $578.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.44 / $721.68 / $721.68
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 / $359.59 / $1,059.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.63 / $477.87 / $578.72
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 / $1,059.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.13 / $572.66 / $1,344.94