go back

New York 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
$7.76 / $12.02 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $37.15
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $14.79 / $19.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $14.79 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.80 / $18.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.80 / $20.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $18.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.30 / $19.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.60 / $18.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $18.62