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Pennsylvania rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.79 / $843.10 / $984.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.41 / $1,259.52 / $1,654.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $2,090.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.79 / $869.04 / $984.91
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $1,042.44 / $2,090.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.10 / $1,574.40 / $1,615.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.82 / $724.91 / $1,284.26