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Arkansas 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
$25.41 / $25.41 / $25.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.04 / $56.97 / $63.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $37.61 / $51.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $37.61 / $51.54
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 / $39.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $25.42 / $36.29