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Kansas rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.08 / $52.08 / $52.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $38.22 / $52.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.12 / $54.12 / $54.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $83.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $48.75 / $272.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $49.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $50.39