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Texas rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $28.74 / $38.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $2.99 / $2.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $50.16 / $51.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $48.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $43.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $235.26 / $238.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $33.27 / $51.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $38.63 / $50.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $32.79 / $51.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $39.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $24.91 / $36.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $37.93 / $37.93