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Pennsylvania rates for HCPCS E2216

Manual Wheelchair Accessory Foam Filled Propulsio N Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $30.94 / $52.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $41.42 / $51.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $84.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $46.92 / $51.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $31.11 / $52.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $84.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $51.77 / $55.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $22.67 / $43.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $31.03 / $53.64