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Washington rates for HCPCS E2390

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

Facilitymedian $42 · 10th–90th $4$500%20%10th90th$42Professionalmedian $25 · 10th–90th $9$560%20%10th90th$25$0.1$0.2$1.0$5.0$20.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $218.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $48.98 / $48.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $51.29 / $56.23
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 / $42.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $47.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $48.98 / $50.12
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $51.29
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $41.69 / $57.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $41.69 / $43.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $44.67 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $19.05 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $24.55 / $47.86
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66