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Iowa rates for HCPCS E2385

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.84 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $63.10 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.37 / $5.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $83.18 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $28.84 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $144.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $21.38 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $50.12