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California rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.98 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $25.12 / $61.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $56.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.62 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $37.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $42.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $147.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $20.89 / $35.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.50 / $24.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $8.91 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $30.90