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Minnesota rates for HCPCS E2222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $16.27 / $16.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $16.27 / $19.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.97 / $30.71 / $31.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $66.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $31.67 / $39.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.07 / $47.07 / $52.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $29.44 / $124.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $14.24 / $31.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.91 / $29.01