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Arizona 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
$27.53 / $34.39 / $34.84
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 / $60.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $43.87 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $24.57 / $40.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $24.57 / $40.95