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Washington, DC 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
$25.77 / $25.77 / $25.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $35.65 / $35.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $32.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $24.82