go back

Michigan rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $44.32 / $44.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.52 / $212.52 / $278.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $41.29 / $78.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $29.59 / $44.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $34.78 / $48.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $37.90 / $49.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $42.37 / $60.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $32.45 / $32.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $31.22 / $44.16