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Texas 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
$14.09 / $18.82 / $24.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.68 / $99.72 / $110.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.00 / $2.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $30.76 / $35.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $31.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $148.63 / $148.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $22.87 / $35.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $26.15 / $30.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $20.72 / $35.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $27.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $16.46 / $21.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $25.32 / $25.32