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Maine 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
$20.42 / $34.67 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $41.69 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $32.36 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $26.92 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $41.69 / $75.86