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Pennsylvania rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $30.50 / $38.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $46.36 / $57.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $83.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $53.31 / $57.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $30.95 / $44.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $83.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $55.40 / $55.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $31.74 / $55.50