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Washington, DC 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
$30.57 / $30.57 / $30.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.16 / $57.16 / $57.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.95 / $34.95 / $34.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $29.47 / $29.47