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Arizona 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
$30.41 / $39.03 / $39.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $41.08 / $68.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.99 / $38.19 / $247.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $29.88 / $46.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $20.55 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $27.39 / $48.69