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Alaska rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $23.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $23.44 / $43.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $43.65 / $147.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.37 / $43.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $7.76 / $43.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $20.42 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.99 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $10.23 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $41.69 / $75.86