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Oregon rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.10 / $308.10 / $308.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.30 / $252.30 / $308.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $278.48 / $327.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.77 / $910.70 / $987.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.20 / $345.65 / $721.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.31 / $368.16 / $490.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $638.16 / $702.83
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.95 / $692.99 / $702.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.20 / $327.62 / $894.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $48.25 / $327.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.29 / $227.15 / $373.25