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
$20.89 / $28.84 / $42.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $38.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $60.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $36.31 / $52.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.90 / $40.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.84 / $42.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $22.91 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $29.51 / $56.23