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Alaska rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $21.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.84 / $18.05 / $27.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $28.23 / $34.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.37 / $27.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $18.84 / $26.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $21.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $32.97 / $60.21