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Utah rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.06 / $73.73
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 / $17.30 / $38.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $16.92 / $24.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $12.75 / $17.89