go back

Kansas 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
$55.91 / $55.91 / $55.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $41.57 / $55.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.78 / $79.78 / $79.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $39.01 / $84.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $52.34 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $33.19 / $60.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $31.36 / $59.38