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West Virginia 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
$16.92 / $19.48 / $21.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $16.05 / $25.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $17.28 / $26.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $37.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $21.16 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $18.30 / $27.36