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Pennsylvania rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $32.36
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $35.48 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $41.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.20 / $30.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $32.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $15.85 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $38.02