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Maine 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
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $33.11 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $20.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $23.44 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $15.14 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $14.13 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $21.38 / $33.88