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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
$20.89 / $30.90 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $21.88 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $26.92 / $44.67