go back

Manual Wheelchair Accessory, Foam Filled Caster Tire

New Mexico rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $3$360%10%20%10th90th$27Professionalmedian $29 · 10th–90th $21$2090%20%10th90th$29$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$37.15
Typical High
$69.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$40.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$19.95
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$40.74