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Alaska rates for HCPCS E2219

Manual wheelchair accessory, foam 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
$19.39 / $28.14 / $44.38
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
$4.22 / $10.94 / $111.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.53 / $28.54 / $43.87
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