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Ohio rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.12 / $56.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $16.60 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $20.42 / $29.51
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 / $17.78 / $32.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $32.36
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.70 / $40.74
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $12.30 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.22 / $23.44