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Pennsylvania rates for HCPCS E1225

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.07 / $249.12 / $309.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.74 / $427.40 / $427.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.50 / $256.50 / $386.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.03 / $256.50 / $679.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.09 / $395.09 / $395.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.07 / $249.12 / $309.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.50 / $256.50 / $386.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.03 / $256.50 / $679.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.40 / $452.40 / $490.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.41 / $197.66 / $415.12