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West Virginia 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
$11.12 / $12.43 / $14.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $12.03 / $16.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $12.96 / $17.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $24.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $12.39 / $20.50