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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
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.02 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $41.69 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $36.31 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $27.54 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $38.02 / $61.66