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Pennsylvania rates for HCPCS E1180

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.45 / $632.28 / $790.35
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.35 / $916.40 / $1,203.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.77 / $344.45 / $2,053.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.45 / $632.28 / $863.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $344.45 / $2,053.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.50 / $1,145.50 / $1,347.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.22 / $604.90 / $993.19