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Minnesota rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $38.02 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.92 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.02 / $47.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $66.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $35.48 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.22 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $11.48 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $24.55 / $46.77