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Arizona 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
$27.68 / $38.11 / $38.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $40.13 / $66.70
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 / $58.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $34.65 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $24.82 / $38.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.82 / $38.19