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Michigan 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
$43.45 / $43.45 / $43.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $37.99 / $43.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.66 / $201.66 / $264.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $52.24 / $74.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $31.64 / $42.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $32.99 / $51.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $34.69 / $44.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $39.58 / $61.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.33 / $30.00 / $34.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $33.94 / $47.09