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Kentucky 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
$61.68 / $61.68 / $91.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $76.76 / $91.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.51 / $127.23 / $127.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $117.81 / $224.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $135.09 / $217.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $182.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $149.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.18 / $90.91 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $82.45 / $127.93