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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
$316.23 / $537.03 / $794.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,202.26
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $794.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $331.13 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $851.14