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Washington rates for HCPCS E2387

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

Facilitymedian $39 · 10th–90th $5–$620%20%10th90th$39Professionalmedian $33 · 10th–90th $26–$710%20%10th90th$33$0.1$0.5$2.0$10.0$50.0$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
$30.20 / $30.20 / $245.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $54.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $57.54 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $51.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $61.66 / $74.13
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $51.29 / $61.66
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.08 / $70.79
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $46.77 / $64.57
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $11.22 / $53.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $57.54 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $27.54 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07