go back

New York rates for HCPCS E2390

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

Facilitymedian $22 · 10th–90th $2$370%10%10th90th$22Professionalmedian $34 · 10th–90th $16$550%20%10th90th$34$1.0$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $91.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $31.62 / $41.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $31.62 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $42.66
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $51.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $19.05 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $56.23
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $34.67 / $38.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $36.31 / $38.90