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Idaho 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
$15.14 / $18.20 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $42.66 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $37.15 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.50 / $35.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.90 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $24.55 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $45.71 / $51.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $32.36 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $10.47 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $23.99