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Minnesota 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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $40.74 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $70.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $35.48 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $17.38 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $12.88 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $24.55 / $48.98