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Illinois 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
$16.22 / $28.63 / $44.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $55.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.01 / $7.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.52 / $41.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $26.35 / $44.32