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Pennsylvania rates for HCPCS E2375

Power Wheelchair Accessory Non-Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.15 / $439.80 / $549.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.28 / $782.80 / $782.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $590.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $1,167.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.52 / $687.52 / $747.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.58 / $614.58 / $614.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.15 / $439.80 / $658.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $590.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $1,167.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.49 / $798.80 / $822.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.04 / $458.69 / $899.39