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Iowa rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.92 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $60.26 / $75.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $77.62 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.30 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $128.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $18.20 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.55 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $44.67 / $44.67