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Kansas rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $28.90 / $28.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $21.21 / $28.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.08 / $26.08 / $26.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $21.16 / $46.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $27.05 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $15.99 / $27.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $15.99 / $27.36