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Washington rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Facilitymedian $14 · 10th–90th $2–$260%20%10th90th$14Professionalmedian $13 · 10th–90th $8–$290%20%10th90th$13$0.0$0.1$0.5$2.0$10.0$50.0

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
$12.02 / $12.02 / $107.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $23.99
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $25.70 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $22.91
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.39 / $24.55
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $22.39 / $25.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.63 / $36.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $20.42 / $28.18
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $5.01 / $22.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $23.99 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $9.33 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.88 / $24.55