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Iowa rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $9.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $6.70 / $10.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $14.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $14.51 / $18.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.25 / $1.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $15.33 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $6.44 / $17.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.46 / $3.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.74 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $6.32 / $17.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $11.87 / $11.87