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Maryland 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
$5.14 / $6.26 / $8.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $7.49 / $8.07
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 / $6.80 / $8.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.69 / $12.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.55 / $10.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $9.77