go back

Maine 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
$68.67 / $93.41 / $93.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.09 / $122.24 / $226.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $98.51 / $105.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $137.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $104.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $84.77 / $84.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.67 / $76.20 / $93.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $102.50 / $239.52