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Arizona 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
$41.12 / $51.95 / $52.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $54.68 / $90.91
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 / $80.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $52.05 / $331.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $42.04 / $65.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $35.90 / $65.23