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Arizona 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
$11.87 / $15.53 / $15.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $16.34 / $27.17
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 / $23.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $15.02 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $11.24 / $17.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $11.24 / $17.43