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Washington 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
$30.24 / $36.08 / $81.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.55 / $331.44 / $331.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $56.04 / $88.34
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 / $60.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $66.48 / $66.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $66.48 / $66.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.69 / $70.87 / $77.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $67.78 / $90.28
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $66.48 / $84.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $6.34 / $74.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $54.87 / $76.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.55 / $64.55 / $64.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $7.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $41.90 / $69.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88