go back

California rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.78 / $60.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.37 / $34.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $16.95 / $24.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $29.21 / $29.21
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $14.71 / $23.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $19.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $23.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $23.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $16.68 / $32.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $99.12 / $99.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $13.81 / $24.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $39.49 / $39.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $19.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.44 / $17.89