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Michigan 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
$5.97 / $5.97 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.97 / $6.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.53 / $28.53 / $37.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $7.39 / $10.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $4.00 / $5.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $4.67 / $6.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.16 / $6.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $5.50 / $8.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $3.19 / $5.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.80 / $5.20