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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
$59.92 / $59.92 / $59.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.08 / $36.08 / $207.68
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 / $54.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $59.84 / $192.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $80.59 / $92.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $64.55 / $87.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $75.72 / $90.28
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $67.78 / $84.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $63.32 / $107.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $63.32 / $79.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.76 / $101.76 / $119.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $69.00 / $69.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $42.04 / $69.00