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Alaska rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $13.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $8.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $6.90 / $10.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $10.87 / $13.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $9.23 / $26.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $7.23 / $10.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $8.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $12.57 / $21.90