go back

Colorado 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
$13.42 / $15.66 / $19.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $24.50 / $25.41
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 / $36.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $19.92 / $36.29
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $31.31 / $45.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $15.28 / $22.81