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Vermont rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $68 · 10th–90th $7$810%20%10th90th$68Professionalmedian $102 · 10th–90th $69$1230%20%10th90th$102$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $51.29 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $95.50 / $151.36