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Pennsylvania rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,416.00 / $1,744.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.23 / $2,695.20 / $2,695.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $3,904.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.61 / $1,798.61 / $2,021.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,416.00 / $1,888.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $3,904.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.89 / $2,565.30 / $2,565.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.80 / $1,223.83 / $2,124.54