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Georgia rates for HCPCS E2390

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

Facilitymedian $22 · 10th–90th $2–$500%5%10%10th90th$22Professionalmedian $27 · 10th–90th $16–$390%10%10th90th$27$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $36.31 / $57.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $33.11 / $50.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $31.62 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $17.38 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $48.98