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Ohio 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
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $17.66 / $23.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $41.33 / $66.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.72 / $25.07 / $48.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $24.10 / $35.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $22.39 / $44.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $36.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $27.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $25.52 / $36.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.57 / $22.78