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Texas rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $33.53 / $45.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.50 / $3.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.95 / $57.95 / $60.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $56.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $49.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $272.00 / $275.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $38.63 / $60.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $45.53 / $57.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $37.90 / $60.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $45.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $29.91 / $42.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $44.66 / $44.66