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Pennsylvania rates for HCPCS E1224

Wheelchair with detachable arms, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.08 / $595.67 / $675.10
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.39 / $863.36 / $1,133.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $1,071.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.97 / $428.20 / $1,396.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.08 / $595.67 / $675.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $1,071.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.14 / $428.20 / $1,396.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.30 / $1,079.20 / $1,079.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $499.35 / $745.76