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Texas rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $43.23 / $57.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.11 / $5.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.34 / $68.34 / $92.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $72.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $60.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.23 / $331.44 / $331.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $53.73 / $92.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $63.79 / $92.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $46.18 / $92.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $59.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $43.73 / $65.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $56.04 / $56.04