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Oregon rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $50.12 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $81.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $67.61 / $91.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $64.57 / $2,691,534.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $102.33 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $38.02 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $41.69 / $69.18