go back

Washington 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
$5.87 / $6.08 / $13.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $80.00 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $9.77 / $13.19
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 / $10.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $11.44 / $11.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $11.44 / $11.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $10.11 / $11.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $12.15 / $13.19
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $11.44 / $13.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $10.30 / $10.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $10.51 / $12.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.84 / $11.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $9.77