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Maine rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $27.53 / $33.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.15 / $47.61 / $88.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $30.03 / $31.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $37.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $25.90 / $33.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $33.03 / $33.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $26.53 / $33.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $24.65 / $53.59