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Pennsylvania rates for HCPCS E2219

Manual wheelchair accessory, foam caster tire, any size, each

Facilitymedian $22 · 10th–90th $3–$350%10%20%10th90th$22Professionalmedian $27 · 10th–90th $19–$490%20%10th90th$27$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$19.05 / $25.70 / $48.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $37.15 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $60.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $46.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $34.67 / $34.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $30.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $41.69 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $47.86