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California 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
$4.11 / $6.14 / $33.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.75 / $19.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $9.77 / $15.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $15.63 / $15.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.32 / $10.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $10.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $11.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $9.23 / $17.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $80.00 / $80.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $8.00 / $13.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $9.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.08 / $22.08 / $22.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $9.15 / $9.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.05 / $13.19