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South Carolina rates for HCPCS E2390

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

Facilitymedian $24 · 10th–90th $3–$380%10%10th90th$24Professionalmedian $28 · 10th–90th $25–$350%20%10th90th$28$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$25.12 / $28.18 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $63.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $18.62 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $19.05 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $38.90