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Idaho rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.37 / $29.37 / $29.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $29.37 / $40.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $25.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $27.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $20.86 / $39.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $31.52 / $35.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $27.94 / $28.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.15 / $34.15 / $58.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $16.09 / $28.52