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Oregon 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
$27.02 / $27.02 / $27.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.43 / $88.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $24.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $26.75 / $86.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $26.38 / $35.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.49 / $29.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.72 / $33.92 / $38.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $31.31 / $34.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $25.12 / $35.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $26.94 / $33.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.29 / $43.29 / $50.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $29.36 / $29.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $15.28 / $29.36