go back

Pennsylvania rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.73 / $241.02 / $301.27
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $350.24 / $436.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $656.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.29 / $346.29 / $376.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.73 / $241.02 / $310.05
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $656.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.39 / $437.80 / $475.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.59 / $246.26 / $495.57