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Iowa rates for HCPCS E2222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $16.27 / $19.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $14.64 / $22.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $32.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $32.08 / $39.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.66 / $2.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $42.33 / $124.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $14.09 / $36.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $7.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.81 / $7.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $14.09 / $36.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $26.24 / $26.24