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Missouri 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
$14.84 / $21.33 / $28.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $25.07 / $25.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $22.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $24.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $28.77 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.69 / $35.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $16.55 / $26.83