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Alaska rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $135.22 / $135.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $43.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.56 / $36.29 / $54.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $92.26 / $181.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $15.99 / $136.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $37.65 / $54.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $43.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.26 / $123.17 / $316.44