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Manual Wheelchair Accessory, Foam Filled Caster Tire

South Carolina rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $3$560%10%10th90th$26Professionalmedian $29 · 10th–90th $26$350%20%40%10th90th$29$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$32.36
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$33.11
Typical High
$72.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$18.62
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$40.74