go back

Wyoming 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
$30.20 / $30.20 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $30.20 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $60.26