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Pennsylvania rates for HCPCS E2616

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $302.69 / $395.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $439.79 / $530.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.09 / $376.09 / $481.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.68 / $376.09 / $826.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.47 / $488.47 / $530.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $302.69 / $620.75
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.09 / $376.09 / $481.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.68 / $376.09 / $826.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.98 / $549.74 / $590.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.82 / $339.41 / $670.29