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Pennsylvania rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.29 / $514.91 / $626.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.02 / $980.20 / $980.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.72 / $687.90 / $1,485.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.23 / $514.91 / $625.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $687.90 / $1,485.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.00 / $932.90 / $1,019.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.17 / $478.51 / $785.67