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Connecticut 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
$29.34 / $38.47 / $38.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $37.93 / $37.93
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 / $32.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $32.60 / $46.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $34.22 / $34.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $24.91 / $37.07