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Pennsylvania rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $33.06 / $43.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.55 / $59.40 / $59.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $51.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $87.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.65 / $54.65 / $59.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $41.58 / $44.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $33.06 / $50.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $51.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $87.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $58.19 / $59.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $35.64 / $61.17