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Michigan 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
$9.61 / $9.61 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.61 / $10.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $45.80 / $59.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $9.36 / $16.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $6.54 / $8.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $7.50 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.41 / $10.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $9.35 / $13.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $5.21 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.29 / $9.60