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Vermont 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 / $13.85 / $18.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $26.13
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 / $21.79
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
$21.16 / $21.16 / $21.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $23.26 / $28.57