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Alaska rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.80 / $14.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $17.78 / $23.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.34 / $23.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.79 / $23.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.30 / $17.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.45 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $7.76 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $22.91 / $41.69