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Maine 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
$19.05 / $19.95 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $45.71 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $32.36 / $32.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $18.62 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $26.92 / $44.67