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Iowa 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
Facility
Modifier
Low / Median / High Price
$19.47 / $19.47 / $23.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $17.66 / $26.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $38.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $27.20 / $45.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.17 / $3.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $50.45 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $16.98 / $43.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $9.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.55 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $16.63 / $43.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $31.35 / $31.35