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Illinois rates for HCPCS E2387

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

Facilitymedian $27 · 10th–90th $3–$490%10%10th90th$27Professionalmedian $38 · 10th–90th $5–$520%20%10th90th$38$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $58.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $8.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $25.12 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $61.66