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Pennsylvania rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.02 / $532.91 / $603.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.44 / $811.52 / $1,014.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $359.31 / $1,326.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.02 / $532.91 / $615.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $422.72 / $1,326.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.60 / $965.50 / $984.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $441.81 / $725.40