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Oregon 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
$29.37 / $29.37 / $29.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $17.22 / $99.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $22.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $27.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.23 / $29.86 / $94.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $25.46 / $33.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $25.43 / $33.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.09 / $33.18 / $38.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $33.89 / $33.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $25.46 / $33.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $28.92 / $33.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $46.45 / $54.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.52 / $31.52 / $31.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $16.09 / $31.41