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Texas rates for HCPCS E2385

Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $32.36 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $251.19 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $38.90 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $41.69 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $47.86 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $35.48 / $60.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $19.05 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66