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Pennsylvania rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $13.75 / $17.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $19.07 / $25.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $19.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $38.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $23.40 / $25.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $17.54 / $17.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $14.44 / $21.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $19.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $20.83 / $38.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $24.98 / $26.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $14.40 / $22.79