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Connecticut 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
$18.85 / $24.85 / $25.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $24.25 / $24.25
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 / $21.16
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $21.05 / $29.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.99 / $28.26