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Florida 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
$12.38 / $16.60 / $22.56
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $20.52 / $20.52
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $27.36 / $32.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $59.62 / $66.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $15.99 / $23.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $66.25 / $66.25