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Manual Wheelchair Accessory, Foam Filled Caster Tire

Washington rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $5$480%20%10th90th$27Professionalmedian $25 · 10th–90th $17$550%20%40%10th90th$25$0.1$0.2$1.0$5.0$20.0$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
$23.99
Median
$25.12
Typical High
$208.93
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$46.77
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$53.70
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$61.66
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$47.86
Typical High
$47.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$47.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$39.81
Typical High
$54.95
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$39.81
Typical High
$43.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$19.95
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$43.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84