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Pennsylvania rates for HCPCS E1190

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.47 / $748.56 / $974.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.47 / $1,084.88 / $1,424.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.08 / $1,546.08 / $1,546.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $1,140.20 / $2,371.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.47 / $748.56 / $974.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.08 / $1,546.08 / $1,546.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $2,371.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.10 / $1,356.10 / $1,556.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.00 / $698.76 / $1,147.29