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Pennsylvania rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $92.00 / $115.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $140.29 / $169.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $59.95 / $189.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.80 / $155.80 / $169.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $93.85 / $132.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $236.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.40 / $167.12 / $167.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $99.53 / $183.74