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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
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $14.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $12.34 / $17.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $18.51 / $24.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.36 / $21.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $12.43 / $17.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $14.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $22.72 / $41.50