go back

Wyoming 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
$10.57 / $10.57 / $19.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $20.52 / $20.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.24 / $18.30