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Pennsylvania rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.34 / $783.84 / $979.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.18 / $1,491.80 / $1,491.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.68 / $1,658.68 / $1,658.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $1,223.23 / $2,160.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.87 / $783.84 / $1,045.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.68 / $1,658.68 / $1,658.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $2,160.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.00 / $1,420.00 / $1,670.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.63 / $752.06 / $1,231.02