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Arkansas rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $16.41 / $16.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $22.25 / $22.25
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
$27.81 / $36.79 / $40.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $24.30 / $32.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $24.30 / $32.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $22.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $25.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $16.34 / $24.68