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Alaska rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $95.58 / $95.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $47.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.50 / $41.61 / $62.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $65.87 / $91.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $73.00 / $182.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $42.42 / $61.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $47.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $86.17 / $157.35