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Pennsylvania rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $21.38 / $26.73
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $31.07 / $38.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $57.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $34.97 / $38.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $21.38 / $26.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $57.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $38.22 / $38.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.81 / $38.24