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Minnesota 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
$20.69 / $20.69 / $20.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $20.69 / $25.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $39.72 / $41.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $85.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.53 / $50.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.77 / $60.77 / $67.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.13 / $40.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $35.39 / $162.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $18.00 / $36.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $17.96 / $34.36