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Colorado rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $128.82 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $60.26 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $102.33