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Pennsylvania rates for HCPCS E1840

Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,787.18 / $2,926.54 / $2,926.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.21 / $2,787.18 / $3,511.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.50 / $4,244.00 / $5,305.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.35 / $248.35 / $396.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.54 / $2,926.54 / $2,926.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.21 / $2,787.18 / $3,511.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.35 / $248.35 / $6,067.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.39 / $5,049.39 / $5,049.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,951.30 / $5,049.39 / $5,089.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.66 / $318.30 / $2,220.21