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Pennsylvania rates for HCPCS E1089

High Strength Lightweight Wheelchair Fixed Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.55 / $634.24 / $768.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.84 / $1,097.77 / $1,840.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.78 / $1,212.78 / $1,212.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $894.40 / $1,543.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.08 / $634.24 / $768.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.78 / $1,212.78 / $1,212.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $1,234.50 / $1,543.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.62 / $719.26 / $1,251.46