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Texas rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $78.90 / $104.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $10.00 / $10.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.50 / $120.50 / $181.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $137.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $106.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.57 / $582.10 / $582.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $104.81 / $181.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $110.86 / $164.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $85.29 / $181.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $104.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $82.12 / $127.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.91 / $98.51 / $98.51