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Pennsylvania rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.33 / $628.47 / $790.32
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.87 / $918.93 / $1,148.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $461.26 / $1,327.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.77 / $1,056.77 / $1,148.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.50 / $861.50 / $861.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.20 / $637.29 / $902.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,659.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.06 / $1,092.13 / $1,141.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.45 / $662.52 / $1,117.81