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Alaska rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $39.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.12 / $34.06 / $48.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $43.25 / $59.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.78 / $112.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.82 / $34.15 / $48.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $39.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $61.04 / $102.54