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Utah 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
$16.37 / $16.37 / $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 / $58.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $30.02 / $47.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $24.82 / $38.21