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Pennsylvania rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $40.28 / $50.36
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $58.54 / $72.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $60.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $102.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $72.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.65 / $54.65 / $54.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $41.44 / $61.35
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $60.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $102.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.58 / $73.17 / $76.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $44.19 / $83.91