go back

New Jersey rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.84 / $32.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $13.18 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $29.51