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Kentucky 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
$21.95 / $21.95 / $32.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.95 / $30.17 / $32.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $36.17 / $37.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $38.63 / $74.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $48.96 / $80.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $58.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $42.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.89 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $26.88 / $40.13