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Maryland 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
$20.99 / $25.77 / $35.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $35.65 / $35.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $27.87 / $33.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $45.14 / $54.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $25.11 / $41.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $32.88 / $42.64