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Pennsylvania rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.30 / $124.77 / $164.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $224.12 / $224.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $175.50 / $183.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $214.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $259.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $169.00 / $183.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.59 / $199.32 / $224.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $123.23 / $312.35
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $214.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $130.52 / $259.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.97 / $219.37 / $268.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.27 / $153.75 / $327.97