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Missouri 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
$13.22 / $21.21 / $26.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $23.57 / $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 / $25.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.76 / $28.73 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $17.63 / $32.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $17.63 / $33.11