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Arkansas 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
$29.36 / $29.36 / $29.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $65.84 / $73.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.80 / $43.47 / $60.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $43.47 / $60.66
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 / $45.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $29.66 / $49.87