go back

Missouri 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
$22.99 / $36.89 / $49.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $44.35 / $44.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $41.86 / $48.36
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 / $40.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $55.84 / $247.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $34.08 / $61.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $22.82 / $40.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $31.40 / $57.28