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Pennsylvania rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $26.30
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $33.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $24.55 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $25.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $23.99 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $30.90