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Michigan rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.14 / $40.14 / $40.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $36.86 / $40.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.06 / $188.06 / $246.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $48.72 / $69.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $26.34 / $35.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $30.77 / $43.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $37.29 / $41.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $38.51 / $58.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $23.87 / $38.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $25.34 / $35.15