go back

Wyoming 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
$15.66 / $15.66 / $27.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $30.40 / $30.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $38.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $15.16 / $22.81