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Wyoming 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
$16.20 / $16.20 / $28.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.45 / $31.45 / $31.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $35.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $16.23 / $29.15