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Washington 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
$38.00 / $38.79 / $90.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $349.46 / $349.46
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $59.10 / $93.17
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 / $63.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.54 / $70.54 / $70.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $70.54 / $70.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $74.70 / $82.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.54 / $77.59 / $93.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $77.41 / $87.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $95.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $58.22 / $80.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $8.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $44.33 / $70.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $40.53 / $40.53