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Pennsylvania rates for HCPCS E1170

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.98 / $557.34 / $698.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.09 / $1,060.90 / $1,060.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $1,537.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.98 / $557.34 / $698.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $766.64 / $1,537.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.70 / $1,009.70 / $1,098.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.11 / $533.03 / $875.17