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Manual Wheelchair Accessory, Foam Filled Caster Tire

North Carolina rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $4$500%10%20%10th90th$33Professionalmedian $35 · 10th–90th $33$350%50%10th$35$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$21.38
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$40.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$234.42
Typical High
$234.42