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Pennsylvania rates for HCPCS E2385

Power Wheelchair Accessory Tube For Pneumatic Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $28.54 / $35.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $41.47 / $53.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $35.11 / $77.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $53.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $28.54 / $41.47
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $37.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $35.11 / $77.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.62 / $51.84 / $51.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $30.21 / $56.44