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Alaska rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $26.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $30.20 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $194.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $5.75 / $57.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $7.24 / $57.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $22.91 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.54 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $12.59 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $56.23 / $102.33