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Texas rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.32 / $30.34 / $43.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.60 / $3.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.97 / $47.97 / $64.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $51.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $43.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.38 / $239.48 / $239.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $37.78 / $64.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $44.78 / $64.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $33.36 / $64.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $43.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $29.77 / $45.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.38 / $40.54 / $40.54