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Minnesota rates for HCPCS E2221

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire (Removable) Any Size Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $19.47 / $19.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $19.47 / $23.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.50 / $37.00 / $38.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $27.20 / $79.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $37.11 / $46.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $56.01 / $62.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $36.75 / $36.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $35.70 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $17.05 / $37.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $17.36 / $42.81