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Massachusetts 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
$17.42 / $17.42 / $17.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $17.42 / $21.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $37.60 / $162.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $34.63 / $35.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $32.42 / $32.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $35.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $50.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $19.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.19 / $162.68 / $162.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $18.54 / $28.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $19.21 / $38.89