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Illinois 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
Professional
Modifier
Low / Median / High Price
$10.93 / $19.12 / $29.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $38.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $21.34 / $36.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.31 / $4.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.54 / $24.54 / $24.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $16.76 / $30.63