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Connecticut 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
$33.82 / $38.03 / $42.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $41.86 / $41.86
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 / $34.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $31.02 / $43.90
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $43.64 / $43.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $30.42 / $44.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $29.50 / $45.20