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Oregon 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
$43.76 / $43.76 / $43.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $143.52
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $45.14 / $140.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $44.93 / $51.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $38.63 / $50.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $50.16 / $55.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.16 / $50.16 / $50.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $35.94 / $59.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $43.78 / $49.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.31 / $70.31 / $82.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.72 / $47.72 / $47.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $24.82 / $48.69