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Minnesota 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
$30.06 / $30.06 / $30.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $30.06 / $36.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.03 / $57.68 / $60.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.47 / $50.70 / $54.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $125.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $58.71 / $73.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.77 / $88.77 / $98.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $58.13 / $58.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $51.54 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $26.79 / $58.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $33.09 / $77.53