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Washington, DC 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
$16.26 / $16.26 / $16.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $19.93 / $20.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $19.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $15.67 / $15.67