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Oregon 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
$17.32 / $17.32 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.49 / $60.38
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 / $16.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $18.07 / $55.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.49 / $21.53 / $24.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $18.51 / $23.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.09 / $21.53 / $25.36
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $20.09 / $23.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $17.22 / $28.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $18.42 / $23.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $29.59 / $34.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.33 / $20.07