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Alaska rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $35.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.79 / $31.31 / $47.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $49.26 / $65.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $45.42 / $130.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.99 / $32.22 / $46.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $35.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $19.80 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.99 / $61.31 / $111.95