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Rhode Island 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
$10.93 / $14.74 / $15.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.95 / $18.76 / $29.78
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $17.35 / $28.92