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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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $20.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $25.70 / $123.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $20.89 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $23.44 / $23.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $25.70 / $123.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $21.38 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $9.33 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $16.98 / $29.51