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Connecticut 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
$15.85 / $19.95 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $29.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.38 / $31.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $15.49 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.62 / $21.38