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Pennsylvania rates for HCPCS E1110

Semi-Reclining Wheelchair Detachable Arms (Desk Or Full Length) Elevating Leg Rest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.10 / $736.56 / $811.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $1,067.52 / $1,402.00
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 / $2,057.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.10 / $736.56 / $894.98
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 / $2,057.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,334.40 / $1,334.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.41 / $606.66 / $996.07