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Pennsylvania rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $16.57 / $21.09
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $24.09 / $30.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $45.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $28.13 / $30.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $22.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $17.41 / $22.49
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $45.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $30.11 / $31.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $17.35 / $31.71