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Connecticut 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
$19.95 / $24.70 / $26.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $25.32 / $25.32
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $19.88 / $28.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $17.48 / $17.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $16.46 / $22.18