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Manual Wheelchair Accessory, Foam Filled Caster Tire

Massachusetts rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $3$1000%20%10th90th$45Professionalmedian $83 · 10th–90th $28$1000%20%40%10th90th$83$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
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$100.00
Typical High
$100.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$234.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$42.66
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$39.81
Typical High
$40.74
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$234.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$42.66
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$19.95
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$38.02
Typical High
$56.23