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Arizona 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
$17.82 / $24.62 / $24.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.43 / $25.91 / $43.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $22.27 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $15.99 / $24.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $15.99 / $24.42