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Minnesota rates for HCPCS E2216

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.67 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $72.44 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $85.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $120.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.84 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $22.39 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $39.81 / $83.18