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West Virginia 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
$31.58 / $36.11 / $42.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $38.11 / $52.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $39.03 / $54.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $81.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $39.01 / $51.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $35.17 / $64.93