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Utah 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
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $99.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $40.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $23.11 / $33.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $16.09 / $24.24