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Pennsylvania rates for HCPCS E2377

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Upgrade Provided At Initial Issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $294.66 / $368.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $448.32 / $560.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $393.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $810.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.87 / $392.28 / $420.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $294.66 / $392.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $393.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $810.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.19 / $535.29 / $535.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.60 / $306.41 / $525.59