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Washington 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
$63.10 / $81.28 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $107.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $125.89 / $173.78
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $154.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $117.49 / $162.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $114.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $42.66 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $117.49