go back

Maine 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
$8.16 / $14.13 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.41 / $25.39 / $47.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $14.33 / $16.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $20.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $17.60 / $17.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $10.38 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $14.05 / $29.75