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Pennsylvania rates for HCPCS E1280

Heavy Duty Wheelchair Detachable Arms (Desk Or Full Length) Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.21 / $901.29 / $1,025.97
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.39 / $1,833.90 / $1,833.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.38 / $511.03 / $2,259.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.21 / $963.48 / $1,091.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $511.03 / $2,259.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.20 / $1,745.50 / $1,745.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.25 / $783.38 / $1,205.83