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Virginia rates for HCPCS E2390

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

Facilitymedian $28 · 10th–90th $3$490%10%10th90th$28Professionalmedian $30 · 10th–90th $22$380%20%10th90th$30$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
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $40.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $57.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $52.48
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $28.18 / $48.98
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $20.89 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $17.38 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $40.74