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Oregon rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $33.76
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 / $9.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $10.30 / $32.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $9.92 / $13.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $9.92 / $11.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $12.15 / $14.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $12.15 / $14.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $9.44 / $13.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.30 / $12.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $19.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $11.23 / $11.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.84 / $11.23