go back

Missouri 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
$5.01 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.77 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.94 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $10.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.31 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $4.79 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.31 / $10.00