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Pennsylvania rates for HCPCS E1298

Special Wheelchair Seat Depth And/Or Width By Construction (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $264.33 / $389.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.48 / $383.12 / $503.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.50 / $292.50 / $292.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $292.50 / $826.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.36 / $476.36 / $517.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $270.24 / $414.66
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.50 / $292.50 / $292.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $292.50 / $826.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.72 / $478.90 / $492.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $270.76 / $444.64