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Delaware 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
$28.54 / $33.35 / $33.97
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 / $29.25 / $45.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $22.82 / $42.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $25.69 / $40.90