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Missouri 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
$14.13 / $19.95 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $27.54 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $27.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $28.84 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $17.78 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.78 / $27.54