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California rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $12.86 / $22.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.63 / $42.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $21.13 / $32.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $34.83 / $34.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $13.81 / $23.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $23.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $38.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $19.86 / $23.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $20.41 / $39.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $124.16 / $124.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $17.30 / $29.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $17.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $48.23 / $48.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $19.80 / $19.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.75 / $21.85