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Massachusetts 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
$15.60 / $15.60 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $15.60 / $23.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.81 / $67.11 / $148.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $30.40 / $31.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $44.19 / $45.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $28.46 / $28.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $31.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $45.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $25.92 / $25.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $17.48 / $17.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $148.63 / $148.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $16.64 / $27.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $17.35 / $35.13