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Arizona 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
$6.78 / $8.98 / $8.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $10.34 / $17.18
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 / $14.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $9.02 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.84 / $8.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $5.84 / $8.57