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Alaska rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.51 / $162.51 / $162.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $81.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $83.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $77.77 / $114.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $127.00 / $169.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $123.14 / $267.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $79.19 / $113.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $83.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $147.75 / $295.70