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Manual Wheelchair Accessory, Foam Filled Caster Tire

Utah rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $2$360%20%10th90th$21Professionalmedian $49 · 10th–90th $5$2090%20%10th90th$49$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$208.93
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
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$53.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$24.55
Typical High
$50.12
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.89
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$19.95
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$22.91
Typical High
$43.65