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Colorado 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
$10.78 / $16.20 / $20.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.59 / $24.59
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 / $37.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $19.48 / $35.81
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $32.39 / $46.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $15.99 / $24.42