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Pennsylvania rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $197.50 / $271.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $310.60 / $310.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $280.70 / $320.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $345.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $539.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.20 / $295.20 / $320.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.62 / $304.83 / $310.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $197.08 / $373.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $345.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $250.72 / $539.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.89 / $350.89 / $385.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.33 / $235.06 / $403.73