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Idaho rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.78 / $33.78 / $33.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $33.78 / $46.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $27.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $33.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $24.84 / $46.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $35.93 / $39.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $33.36 / $34.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.49 / $38.49 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $20.30 / $36.00