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Massachusetts 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
$12.86 / $12.86 / $12.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $12.86 / $21.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $55.50 / $124.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $22.15 / $25.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $23.39 / $23.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $26.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $22.72 / $38.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $21.30 / $21.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $124.16 / $124.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $13.91 / $23.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $13.91 / $29.16