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Maryland rates for HCPCS E2388

Power Wheelchair Accessory Foam Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $29.92 / $40.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $39.64 / $39.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $32.22 / $39.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $52.16 / $62.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $29.30 / $47.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $38.72 / $49.26