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Pennsylvania rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.41 / $387.41 / $469.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.04 / $670.42 / $735.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $857.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.01 / $387.41 / $469.16
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $857.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.94 / $439.32 / $764.39