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Kentucky 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
$14.09 / $14.09 / $20.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $18.84 / $20.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $25.07 / $25.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $24.80 / $51.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $29.75 / $49.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $36.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $29.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $24.44 / $25.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.10 / $24.50