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Iowa rates for HCPCS E2384

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.91 / $47.91 / $57.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.85 / $42.94 / $65.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $96.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $86.63 / $108.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $7.49 / $7.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.83 / $114.86 / $349.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $46.94 / $107.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.66 / $9.66 / $22.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $11.54 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $42.95 / $107.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.52 / $79.14 / $79.14