go back

Missouri 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
$22.91 / $32.93 / $44.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $36.17 / $37.93
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 / $32.79 / $39.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $44.86 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $27.58 / $51.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.54 / $26.88 / $51.51