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Idaho 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
$61.09 / $61.09 / $61.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $61.09 / $90.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $71.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $63.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.20 / $44.68 / $90.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $68.25 / $91.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $7.76 / $63.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.33 / $75.33 / $131.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $45.58 / $139.22