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West Virginia rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $18.84 / $21.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $17.41 / $25.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $18.75 / $24.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $36.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $22.61 / $27.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $17.35 / $26.83