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Washington rates for HCPCS E2386

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

Facilitymedian $81 · 10th–90th $12$1260%20%10th90th$81Professionalmedian $69 · 10th–90th $18$1550%20%10th90th$69$0.1$0.5$2.0$10.0$50.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $512.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $114.82 / $114.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $123.03 / $134.90
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 / $69.18 / $107.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $117.49 / $125.89
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $177.83
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $97.72 / $134.90
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $123.03 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $60.26 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $117.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66