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Tennessee 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
$20.09 / $20.09 / $20.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $20.35 / $25.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $24.50 / $29.40
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $151.87 / $153.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $17.22 / $23.26