go back

Pennsylvania rates for HCPCS E2384

Power Wheelchair Accessory Pneumatic Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $40.96 / $51.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $56.67 / $67.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $63.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $108.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $62.02 / $67.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $40.96 / $63.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $63.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $108.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $70.84 / $78.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $47.52 / $89.12