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Washington, DC 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
$16.60 / $16.60 / $16.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $15.99 / $16.14