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Alabama 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
$15.01 / $25.02 / $25.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $29.95 / $29.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $36.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $15.94 / $24.19