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Texas 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
$24.12 / $31.93 / $42.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.23 / $61.23 / $61.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.64 / $3.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $51.35 / $65.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $53.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $45.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.46 / $247.01 / $247.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $39.56 / $65.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $47.24 / $65.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $34.40 / $65.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $45.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $22.61 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $31.65 / $46.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $41.86 / $41.86