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Pennsylvania rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed 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
$537.63 / $800.94 / $1,077.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.80 / $1,524.40 / $1,524.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.98 / $1,670.98 / $1,670.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $2,564.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.63 / $800.94 / $1,077.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.98 / $1,670.98 / $1,670.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $2,051.25 / $2,564.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.00 / $1,451.00 / $1,682.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.03 / $802.78 / $1,338.00