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Idaho 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
$43.76 / $43.76 / $43.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $43.76 / $55.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $38.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $39.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $29.33 / $51.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $37.61 / $50.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $5.08 / $37.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $80.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.40 / $42.79