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Iowa rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.98 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $37.15 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.16 / $3.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $50.12 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $39.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $91.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $11.22 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.60 / $43.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $31.62 / $31.62