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Pennsylvania rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $27.18 / $36.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $39.50 / $47.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $77.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $43.90 / $47.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $39.14 / $39.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $27.18 / $38.49
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $77.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $49.37 / $55.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $22.82 / $36.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $31.65 / $68.73