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Alaska rates for HCPCS E2392

Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $66.94 / $66.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $34.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $30.00 / $44.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $46.49 / $64.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $52.47 / $127.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $30.76 / $44.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $34.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $60.34 / $110.19