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Ohio 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
$26.78 / $26.78 / $26.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $26.78 / $48.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.50 / $62.70 / $100.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $36.36 / $80.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $36.31 / $51.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $33.50 / $63.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $58.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $38.47 / $53.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.82 / $36.36