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Maine rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $32.31 / $43.70
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
$33.96 / $33.96 / $38.65
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 / $38.77
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
$16.01 / $30.82 / $43.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $26.00 / $62.83