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Pennsylvania rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $65.27 / $90.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $94.59 / $124.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $208.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.30 / $114.30 / $124.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $66.73 / $111.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $208.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.82 / $118.24 / $120.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $66.86 / $103.30