go back

New York 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
$13.58 / $19.95 / $30.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.32 / $25.32 / $36.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $21.78 / $29.04
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $21.78 / $29.04
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 / $20.72 / $27.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $19.88 / $30.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $20.85 / $22.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $18.07 / $27.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $20.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $20.85 / $22.15