go back

Maine rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $35.54 / $45.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.03 / $54.58 / $101.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $37.69 / $40.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $51.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $44.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $37.85 / $37.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $29.12 / $45.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $36.89 / $75.04