go back

Kentucky 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
$28.18 / $28.18 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $57.54 / $57.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $44.67 / $87.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $63.10 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $51.29 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $64.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $41.69 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $25.70 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.02 / $57.54