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Pennsylvania rates for HCPCS E2215

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

Facilitymedian $5 · 10th–90th $1–$90%20%10th90th$5Professionalmedian $6 · 10th–90th $4–$120%20%10th90th$6$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $12.30
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.51 / $12.30
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $4.57 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $10.96