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Texas rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $18.47 / $25.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.67 / $32.67 / $32.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.93 / $1.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $32.39 / $32.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $31.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $27.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $151.87 / $153.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $21.43 / $32.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $24.69 / $32.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $21.16 / $32.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $15.99 / $23.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $24.25 / $24.25