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Maine rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $33 · 10th–90th $4–$630%10%20%10th90th$33Professionalmedian $33 · 10th–90th $25–$510%20%10th90th$33$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $43.65 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $28.18 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $28.84 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $43.65 / $57.54