go back

Pennsylvania rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.38 / $8.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $9.27 / $11.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $18.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $11.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.67 / $8.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $18.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $11.59 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.61 / $12.10