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Alaska rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $87 · 10th–90th $15–$1510%10%10th90th$87Professionalmedian $107 · 10th–90th $19–$1620%10%10th90th$107$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $114.82 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $151.36 / $512.86
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $15.14 / $151.36
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $151.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $81.28 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $51.29 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $147.91 / $295.12