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Michigan rates for HCPCS E2387

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

Facilitymedian $32 · 10th–90th $3–$510%10%10th90th$32Professionalmedian $41 · 10th–90th $30–$590%20%10th90th$41$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
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $38.90 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $51.29 / $83.18
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $25.70 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $56.23