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Kentucky 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
Facility
Modifier
Low / Median / High Price
$11.84 / $11.84 / $17.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $15.94 / $17.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $20.67 / $21.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $20.51 / $42.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $24.30 / $40.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $30.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $16.34 / $127.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $18.95 / $19.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.39 / $18.79