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Arkansas 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
$36.06 / $36.06 / $36.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $78.58 / $87.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $51.88 / $92.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $51.88 / $92.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $60.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $60.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $38.90 / $61.96