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Alaska rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.68 / $79.68 / $79.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $40.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.91 / $35.84 / $52.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $54.79 / $76.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $61.08 / $161.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $36.11 / $51.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $40.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $71.84 / $131.19