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Maine 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
$18.82 / $20.82 / $23.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.53 / $37.39 / $69.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $20.74 / $25.32
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 / $24.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $25.92 / $25.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $18.82 / $23.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $24.96 / $48.95