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Connecticut rates for HCPCS E2386

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $90.02 / $104.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $98.51 / $98.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $81.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $81.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $73.66 / $104.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.41 / $120.41 / $120.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $70.87 / $108.60