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Virginia 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
$36.11 / $36.11 / $36.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.59 / $36.11 / $51.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $60.05 / $60.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
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 / $51.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $51.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.33 / $48.39 / $63.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $36.00 / $78.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $70.20 / $70.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $33.71 / $70.12
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $26.60 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $35.17 / $52.95