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West Virginia 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
$27.18 / $31.31 / $36.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $32.02 / $42.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $33.83 / $45.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $66.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $22.82 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $31.23 / $54.55