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Washington, DC 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
$66.55 / $66.55 / $66.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.66 / $73.66 / $73.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $64.16 / $64.16