go back

Maryland 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
$23.07 / $28.70 / $38.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $42.93 / $42.93
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 / $35.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $42.95 / $55.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $22.39 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $30.26 / $51.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $41.80 / $41.86