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Kansas 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
$28.92 / $28.92 / $28.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $21.33 / $28.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $43.27 / $43.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $45.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $27.08 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $16.07 / $25.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $15.28 / $25.46