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Wyoming 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
$63.10 / $63.10 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $60.26 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $134.90