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Maryland 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
$13.52 / $16.60 / $22.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.02
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 / $17.98 / $21.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $29.15 / $34.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $16.14 / $27.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $21.03 / $27.53