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California 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
$10.93 / $16.36 / $88.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.98 / $50.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $25.32 / $39.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $41.55 / $41.55
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $16.55 / $28.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $23.84 / $28.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $24.38 / $47.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $148.63 / $148.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $20.72 / $35.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $24.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.79 / $57.79 / $57.79
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $15.28 / $23.57