go back

Kentucky rates for HCPCS E2220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $23.44 / $37.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $31.62 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $29.51 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.44 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $13.49 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.22 / $23.99