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Manual Wheelchair Accessory, Foam Filled Caster Tire

Texas rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $4$2340%10%20%10th90th$33Professionalmedian $27 · 10th–90th $21$400%10%20%10th90th$27$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
$21.38
Median
$28.18
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.63
Christus
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$50.12
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
$39.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$234.42
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$50.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$50.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$19.95
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$40.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90