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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
$31.10 / $31.10 / $31.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $31.10 / $36.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $59.41 / $61.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $41.89 / $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
$16.01 / $53.99 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $27.52 / $53.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $25.45 / $53.46