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Maine rates for HCPCS E2387

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

Facilitymedian $39 · 10th–90th $4–$680%20%10th90th$39Professionalmedian $46 · 10th–90th $38–$580%20%10th90th$46$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $67.61 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $47.86
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 / $38.90 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $30.90 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $74.13