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Vermont 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
$59.29 / $76.20 / $102.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.40 / $100.40 / $100.40
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 / $83.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $81.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $81.17 / $83.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $108.38 / $158.04