go back

Pennsylvania rates for HCPCS E1130

Standard Wheelchair Fixed Full Length Arms Fixed Or Swing Away Detachable Footrests (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $251.51 / $304.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.44 / $435.27 / $435.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.94 / $480.94 / $480.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $354.68 / $614.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $251.51 / $304.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.94 / $480.94 / $480.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $491.25 / $614.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.09 / $283.55 / $540.48