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Pennsylvania rates for HCPCS E2609

Custom fabricated wheelchair seat cushion, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.29 / $503.29 / $1,258.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.99 / $783.48 / $783.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $390.00 / $390.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.50 / $390.00 / $397.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.96 / $1,835.20 / $2,351.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.29 / $503.29 / $2,899.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $390.00 / $390.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.50 / $390.00 / $397.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.39 / $823.39 / $823.39