go back

Virginia 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
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $30.00 / $43.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.87 / $49.87 / $49.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $40.54 / $40.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $41.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $43.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $43.21 / $60.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $30.00 / $64.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.57 / $56.57 / $56.57
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $28.00 / $60.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $22.09 / $56.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $29.63 / $45.45