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Oregon 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
$52.57 / $52.57 / $52.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $28.96 / $166.66
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $52.16 / $168.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.96 / $52.91 / $60.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $45.53 / $57.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.38 / $57.95 / $65.23
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.95 / $57.95 / $63.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $42.33 / $70.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $50.83 / $57.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.67 / $81.67 / $96.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $55.40 / $55.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $28.82 / $56.27