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Idaho 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
$27.02 / $27.02 / $27.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $27.02 / $35.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $22.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $24.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $19.70 / $35.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $28.23 / $31.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $25.03 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $30.40 / $51.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $16.32 / $25.55