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Tennessee 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
$34.26 / $34.26 / $34.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $34.72 / $42.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $46.96 / $55.11
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $247.01 / $247.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $22.82 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $30.32 / $46.37