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Iowa rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $22.39 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $48.98 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.17 / $4.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $66.07 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.38 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $117.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $14.13 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $21.38 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $40.74