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Maryland rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $24.74 / $34.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $32.64 / $36.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $27.12 / $37.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $40.61 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $27.46 / $43.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $38.65 / $38.65