go back

Utah 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
$19.27 / $19.27 / $166.66
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 / $37.90 / $67.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $35.13 / $54.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $28.82 / $44.16