go back

Utah 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
$57.57 / $57.57 / $380.07
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 / $81.17 / $144.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $75.49 / $119.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.57 / $61.50 / $127.93