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New York 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
$10.78 / $18.85 / $31.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $38.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $20.23 / $27.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $20.23 / $27.00
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 / $27.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $21.05 / $32.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $23.49 / $24.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $25.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $27.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $17.78 / $27.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $22.11 / $22.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $24.99