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Pennsylvania rates for HCPCS E2293

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $412.99 / $412.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.99 / $193.01 / $549.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.00 / $365.00 / $365.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $412.99 / $446.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.84 / $884.84 / $884.84