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Pennsylvania rates for HCPCS E2376

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.15 / $800.40 / $1,000.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.26 / $1,334.72 / $1,512.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,061.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $2,193.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.23 / $1,134.45 / $1,210.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.15 / $807.73 / $1,067.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,061.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $2,193.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.67 / $1,454.00 / $1,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.75 / $844.47 / $1,564.50