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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
$122.49 / $177.58 / $224.97
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $260.13 / $331.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $448.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.43 / $305.43 / $331.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.11 / $186.46 / $254.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $448.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.02 / $322.58 / $322.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $179.14 / $309.45