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Pennsylvania rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $17.03 / $23.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $24.75 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $50.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.77 / $29.77 / $32.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.19 / $20.19 / $20.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $17.03 / $25.26
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $50.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $30.94 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $18.17 / $38.68