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Alaska rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $52.98 / $52.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $33.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $29.01 / $41.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $36.70 / $50.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $6.25 / $97.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $29.33 / $41.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $33.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $48.13 / $85.51