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Pennsylvania rates for HCPCS E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $238.98 / $287.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.41 / $89.67 / $89.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $180.13 / $185.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.00 / $395.00 / $395.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.97 / $238.98 / $265.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $180.13 / $275.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.44 / $535.44 / $535.44