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Pennsylvania rates for HCPCS E2212

Manual Wheelchair Accessory Tube For Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.85 / $4.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $7.12 / $7.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $10.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $7.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $5.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.04 / $5.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $10.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $6.99 / $7.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.03 / $6.71