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West Virginia 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
$26.27 / $30.17 / $32.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $25.11 / $40.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $27.04 / $41.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $58.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $242.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.82 / $29.89 / $44.93