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Texas rates for HCPCS E2222

Manual 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
$11.32 / $15.74 / $20.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.48 / $82.25 / $92.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.60 / $1.60
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $14.83 / $15.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $29.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $26.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $20.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $124.16 / $124.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $17.67 / $29.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $22.36 / $26.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $17.30 / $29.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $14.71 / $23.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $13.57 / $17.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $21.13 / $21.13