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Alaska rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.30 / $99.30 / $99.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $32.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $34.58 / $55.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $67.73 / $95.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.27 / $117.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $34.39 / $55.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $32.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $90.42 / $165.12