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Pennsylvania rates for HCPCS E1100

Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.06 / $680.51 / $863.52
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.32 / $1,450.30 / $1,450.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.46 / $999.36 / $1,785.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.06 / $761.94 / $863.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.46 / $999.36 / $1,785.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.30 / $1,380.40 / $1,380.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.55 / $619.63 / $1,017.37