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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

Facilitymedian $17 · 10th–90th $2–$500%10%10th90th$17Professionalmedian $17 · 10th–90th $11–$220%10%20%10th90th$17$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.85 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.89 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $23.44 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $10.47 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.49 / $21.88