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Rhode Island 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
$24.90 / $26.59 / $35.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $42.71 / $65.75
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 / $39.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.93 / $60.97