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Arkansas rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $27.13 / $27.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $44.35 / $44.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $59.12 / $65.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $39.04 / $65.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $39.04 / $65.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $43.29
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $27.10 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $29.21 / $52.80