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Alaska rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.21 / $112.21 / $112.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $37.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.13 / $37.13 / $52.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $76.54 / $107.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $87.89 / $219.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.13 / $37.13 / $52.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $37.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $17.36 / $43.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $102.18 / $181.05