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Maryland 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
$59.00 / $77.39 / $98.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.02 / $124.41 / $124.41
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 / $68.98 / $83.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $107.65 / $141.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $77.84 / $124.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.32 / $96.91 / $98.51