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Texas rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $12.49 / $16.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.43 / $20.43 / $24.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $20.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $18.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $99.12 / $99.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $15.06 / $24.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $18.51 / $24.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $13.81 / $24.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $16.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.93 / $17.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $16.88 / $16.88