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Pennsylvania rates for HCPCS E1228

Special back height for wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.98 / $174.90 / $218.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $266.32 / $332.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.43 / $240.50 / $482.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.36 / $174.90 / $233.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $240.50 / $482.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.80 / $316.80 / $372.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.54 / $177.80 / $315.68