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Delaware 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
$16.98 / $19.05 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $13.80 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.38 / $23.44