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Rhode Island 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
$15.78 / $21.27 / $22.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.08 / $27.08 / $45.21
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 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $28.90 / $42.70