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Vermont 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 / $34.17 / $45.77
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 / $40.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $39.01 / $40.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $48.78 / $70.86