go back

Pennsylvania rates for HCPCS E2392

Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $28.28 / $35.36
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $41.10 / $50.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $41.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $73.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $50.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $38.65 / $48.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $28.28 / $45.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $41.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $73.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $51.38 / $54.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.42 / $31.25 / $67.88