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Arizona rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $43.22 / $45.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $45.50 / $75.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $44.69 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $36.58 / $57.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $33.89 / $57.37