go back

California rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.05 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $27.54 / $69.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $61.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.89 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $47.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $22.91 / $40.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $27.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $10.23 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.22 / $34.67