go back

Maryland rates for HCPCS E2387

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

Facilitymedian $27 · 10th–90th $3–$460%10%10th90th$27Professionalmedian $35 · 10th–90th $30–$510%20%10th90th$35$5.0$10.0$20.0$50.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $47.86
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $25.70 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.90 / $67.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $48.98