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Pennsylvania rates for HCPCS E2604

Skin Protection Wheelchair Seat Cushion Width 22 Inches Or Greater Any Depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $92.44 / $122.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $134.31 / $161.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $256.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $148.22 / $161.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $135.19 / $135.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $92.44 / $232.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $256.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $167.89 / $177.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $109.30 / $203.88