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California 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
$18.59 / $26.50 / $166.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.37 / $98.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $44.66 / $68.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.83 / $71.83 / $71.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $36.15 / $59.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $48.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $67.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.19 / $48.19 / $57.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $41.52 / $80.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.03 / $272.00 / $275.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $37.90 / $60.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $41.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.02 / $109.02 / $109.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $46.36 / $48.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $28.82 / $42.39