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Colorado rates for HCPCS E2390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $27.54 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $21.88 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.55 / $38.02