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Arizona 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
$57.57 / $91.58 / $98.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $4.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.33 / $96.40 / $133.76
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 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $98.43 / $582.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $80.83 / $127.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $61.84 / $127.93