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Pennsylvania rates for HCPCS E2220

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

Facilitymedian $15 · 10th–90th $2–$250%10%20%10th90th$15Professionalmedian $17 · 10th–90th $13–$350%20%10th90th$17$2.0$5.0$10.0$20.0$50.0$100.0

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
$12.88 / $16.98 / $34.67
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $41.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $33.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $19.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $28.18