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Minnesota 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 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $61.66 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $41.69 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $53.70 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.70 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $18.62 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $36.31 / $72.44