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Oregon 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
$28.20 / $28.20 / $28.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $92.48
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $29.15 / $90.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $28.73 / $32.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $24.69 / $32.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.40 / $32.39 / $35.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $32.39 / $34.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $22.98 / $38.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $28.20 / $31.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $53.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $30.74 / $30.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.99 / $30.74