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Pennsylvania rates for HCPCS E2621

Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.44 / $288.17 / $377.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $418.70 / $507.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.55 / $354.55 / $465.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $354.55 / $772.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.78 / $466.78 / $507.37
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.40 / $412.40 / $412.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.44 / $296.13 / $439.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.55 / $354.55 / $465.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $354.55 / $772.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.86 / $523.38 / $556.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $341.59 / $637.87