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New York 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
$19.59 / $29.34 / $48.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $37.93 / $58.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $31.51 / $42.02
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $31.51 / $42.02
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 / $43.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $32.60 / $50.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $36.72 / $39.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $43.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $28.15 / $44.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.57 / $34.57 / $34.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $34.57 / $39.07