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Maryland 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
$13.48 / $16.26 / $22.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $19.93 / $20.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $17.61 / $24.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $27.52 / $33.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $17.35 / $27.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $22.79 / $25.32