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Iowa rates for HCPCS E2212

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.16 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $8.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $8.63 / $11.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.75 / $0.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $9.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.93 / $10.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $2.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.11 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.93 / $10.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.26 / $7.26