go back

Pennsylvania rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.27 / $289.17 / $368.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.25 / $522.49 / $522.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $432.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $358.71 / $765.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.69 / $480.69 / $522.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.87 / $391.87 / $391.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.27 / $303.63 / $554.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $432.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $358.71 / $765.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $525.24 / $564.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $247.14 / $391.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.73 / $313.49 / $588.59