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Iowa rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $36.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $27.58 / $41.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $55.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $58.13 / $74.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.01 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $78.69 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $27.58 / $67.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $13.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $6.68 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $25.40 / $67.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $45.76 / $45.76