go back

Minnesota rates for HCPCS E2217

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $31.10 / $31.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $36.81 / $39.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $61.99 / $173.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $128.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $76.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $91.16 / $101.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $53.99 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $25.49 / $55.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $25.45 / $51.68