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Vermont 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
$21.66 / $29.01 / $29.01
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 / $33.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $33.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $34.15 / $41.85