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West Virginia 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
$67.86 / $77.39 / $92.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $83.62 / $117.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $86.84 / $126.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $182.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $81.17 / $114.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.79 / $115.79 / $115.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $77.84 / $150.51