go back

Michigan rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.99 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $29.51 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $20.89 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $44.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $31.62 / $51.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $33.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $14.45 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $22.91 / $33.88