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Pennsylvania rates for HCPCS E1296

Special wheelchair seat height from floor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.73 / $306.77 / $383.46
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.34 / $583.89 / $583.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $198.90 / $966.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.17 / $537.17 / $583.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.68 / $313.62 / $449.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $489.07 / $966.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.47 / $555.76 / $555.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.45 / $291.29 / $485.49