go back

Pennsylvania rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $268.22 / $362.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $389.70 / $463.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $727.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.68 / $426.68 / $463.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.64 / $398.80 / $398.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $273.52 / $488.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $343.25 / $727.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.54 / $487.13 / $521.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $300.62 / $518.38