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Pennsylvania rates for HCPCS E2612

General Use Wheelchair Back Cushion Width 22 Inches Or Greater Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $197.98 / $267.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $287.64 / $337.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $327.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $538.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.33 / $310.33 / $337.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.17 / $303.17 / $303.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $197.98 / $430.99
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $327.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $251.09 / $538.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.56 / $359.56 / $380.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $235.66 / $443.67