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Texas rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $28.54 / $39.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $49.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $48.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $41.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $228.57 / $228.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $35.78 / $49.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $38.46 / $45.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $32.86 / $49.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $39.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $27.13 / $40.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $39.07 / $45.00