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Missouri 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
$57.54 / $81.28 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $141.25 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $60.26 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $138.04