go back

Pennsylvania rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $110.36 / $143.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $160.38 / $204.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $70.68 / $228.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $188.17 / $204.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.40 / $153.40 / $153.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.41 / $115.22 / $160.61
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $83.15 / $285.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.88 / $200.47 / $200.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $113.47 / $189.55