go back

Colorado rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $63.10 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $27.54 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $48.98