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Pennsylvania rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $38.49 / $48.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $67.77 / $67.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $60.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $100.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.35 / $62.35 / $67.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.44 / $55.08 / $55.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $38.49 / $52.05
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $60.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $100.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $69.91 / $72.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $41.59 / $83.05