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Maryland 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
$27.19 / $35.51 / $45.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.16 / $57.16 / $57.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $33.15 / $40.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $49.80 / $64.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $40.65 / $61.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.15 / $46.99 / $47.32