go back

Idaho 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
$48.76 / $48.76 / $48.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $48.76 / $71.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $57.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $50.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $35.72 / $76.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $54.79 / $73.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $7.04 / $52.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.44 / $59.44 / $104.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $36.97 / $59.58