go back

Maine 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
$32.31 / $32.31 / $32.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $52.97 / $98.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $45.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $48.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $44.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $32.31 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $30.71 / $64.28