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Delaware 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
$27.58 / $30.35 / $32.84
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 / $27.87 / $43.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $36.36