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Kentucky rates for HCPCS E2395

Power Wheelchair Accessory Caster Wheel Excludes Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.12 / $24.12 / $35.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $29.84 / $35.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.93 / $45.93 / $45.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $46.11 / $46.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $46.02 / $88.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $52.05 / $85.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $66.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $54.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $37.26 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $22.82 / $30.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $30.42 / $46.37