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Utah 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
$9.77 / $9.77 / $88.35
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 / $36.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $20.57 / $29.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $15.28 / $21.72