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Massachusetts 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
$22.51 / $22.51 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $22.51 / $39.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.10 / $100.00 / $238.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $41.39 / $48.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $42.79 / $42.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $44.00 / $44.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $48.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $72.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $34.22 / $34.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $238.26 / $238.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $25.11 / $42.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $31.26 / $48.69