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Alaska rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $4.16 / $6.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $6.48 / $8.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $6.41 / $9.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $4.40 / $6.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.66 / $13.99