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Virginia 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
$15.94 / $15.94 / $15.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $15.94 / $21.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $26.50 / $26.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $21.13 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $19.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $20.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $21.62 / $30.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $14.30 / $29.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $22.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $3.06 / $23.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.06 / $23.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $14.09 / $21.51