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West Virginia 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
$28.28 / $30.00 / $34.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $31.64 / $42.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $32.42 / $45.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $65.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $41.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.81 / $43.81 / $43.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $29.92 / $53.88