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Missouri 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
$26.59 / $41.57 / $46.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $54.88 / $54.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.95 / $47.32 / $59.83
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 / $39.01 / $47.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $69.86 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $39.97 / $72.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $33.19 / $66.53