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Manual Wheelchair Accessory, Foam Filled Caster Tire

Rhode Island rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $4$330%20%40%10th90th$25Professionalmedian $54 · 10th–90th $25$1000%20%40%10th90th$54$5.0$10.0$20.0$50.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$38.90
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
$26.92
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$24.55
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$41.69