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Pennsylvania rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.12 / $14.09
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $16.22 / $20.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $29.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $18.66 / $20.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.68 / $17.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $29.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $20.21 / $21.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $12.17 / $22.59