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Tennessee 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
$31.18 / $31.18 / $31.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $31.59 / $38.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $40.67 / $40.93
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $235.26 / $238.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $26.93 / $38.43