go back

North Carolina 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
$16.26 / $22.49 / $22.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $22.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $22.49 / $26.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $26.83 / $26.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.78 / $26.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $148.63 / $148.63