go back

Wyoming 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
$25.08 / $25.08 / $43.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $55.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $24.82 / $29.89