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Massachusetts rates for HCPCS E2220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $25.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $162.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.84 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $32.36 / $32.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $162.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $30.20 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $11.22 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $21.38 / $39.81