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Pennsylvania rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $251.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $257.04 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $338.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $251.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $309.03