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Michigan 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
$38.18 / $38.18 / $38.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $38.18 / $38.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.95 / $183.95 / $240.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.78 / $67.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $25.11 / $38.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $30.10 / $41.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $32.79 / $43.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $35.94 / $50.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $27.55 / $27.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $26.96 / $41.36