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West Virginia 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
$25.22 / $32.65 / $38.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $28.47 / $46.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $28.50 / $40.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $56.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $31.91 / $235.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $28.47 / $45.21