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Alaska rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.30 / $99.30 / $99.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $50.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.32 / $44.48 / $66.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $68.25 / $95.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $77.84 / $190.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $44.68 / $65.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $50.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $89.52 / $163.46