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Arizona 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
$17.77 / $23.38 / $23.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $24.61 / $40.90
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 / $36.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $23.38 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $15.28 / $22.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $15.28 / $21.72