go back

Kansas 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
$44.86 / $44.86 / $44.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $32.93 / $44.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.77 / $40.77 / $40.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $72.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $41.99 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $42.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $42.79