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Virginia 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
Facility
Modifier
Low / Median / High Price
$20.94 / $20.94 / $20.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $20.94 / $25.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.89 / $33.89 / $33.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.46 / $27.46 / $27.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $19.87 / $21.99
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $27.51 / $37.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $17.71 / $33.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $29.95 / $29.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $3.75 / $27.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.75 / $27.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $16.91 / $24.24