go back

Colorado 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
$19.36 / $25.08 / $31.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $38.17 / $38.17
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $30.17 / $55.60
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $16.37 / $16.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $50.16 / $72.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $24.82 / $38.19