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Arizona 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
$36.29 / $45.24 / $46.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $47.62 / $79.16
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 / $70.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $46.56 / $305.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $35.14 / $56.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $33.40 / $56.53