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Idaho 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
$22.62 / $22.62 / $22.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $22.62 / $29.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.30 / $30.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $15.30 / $29.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $23.52 / $25.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $20.95 / $21.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $42.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $12.75 / $21.06