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Missouri 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
$11.10 / $17.82 / $22.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $20.67 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $17.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $23.55 / $124.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $13.90 / $29.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $13.81 / $29.54