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Pennsylvania rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $602.56
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $891.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $602.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $724.44