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Arkansas 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
$16.32 / $16.32 / $16.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $35.58 / $39.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $23.49 / $35.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $23.49 / $35.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $15.94 / $22.65