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Massachusetts rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $21.98 / $21.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $21.98 / $30.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $47.14 / $185.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $38.72 / $41.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $36.26 / $36.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $37.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $57.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $33.03 / $33.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $28.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.51 / $185.84 / $185.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $22.94 / $33.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $22.94 / $46.42