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Pennsylvania rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $270.04 / $370.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.09 / $470.86 / $470.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $464.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $806.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.19 / $433.19 / $470.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.56 / $394.56 / $394.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $270.04 / $483.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $464.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $806.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.47 / $490.45 / $545.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.37 / $302.92 / $522.04