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Rhode Island 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
$10.09 / $10.78 / $14.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $17.32 / $29.12
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 / $21.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $18.57 / $27.43