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North Carolina rates for HCPCS E2387

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

Facilitymedian $39 · 10th–90th $4–$2880%10%10th90th$39Professionalmedian $45 · 10th–90th $33–$450%50%10th$45$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
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $61.66
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $288.40 / $288.40