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Iowa rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $12.82 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $11.91 / $17.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $23.63 / $30.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.06 / $2.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $33.56 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $12.17 / $29.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.15 / $6.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.63 / $29.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $21.45 / $21.45