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Maine 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
$4.33 / $4.83 / $5.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $8.85 / $16.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.15 / $5.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $4.33 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $4.01 / $11.34