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Arkansas rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.38 / $18.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.26 / $40.04 / $44.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $26.45 / $36.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $26.45 / $36.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $29.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $17.89 / $23.96