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Idaho 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
Facility
Modifier
Low / Median / High Price
$42.29 / $42.29 / $42.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $42.29 / $58.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $48.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $44.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $30.76 / $58.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $46.49 / $64.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.51 / $43.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.67 / $47.67 / $84.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $29.51 / $50.28