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Alaska rates for HCPCS E2389

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

Facilitymedian $21 · 10th–90th $3–$320%10%20%10th90th$21Professionalmedian $24 · 10th–90th $3–$340%20%10th90th$24$2.0$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
$19.05 / $23.99 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $23.99 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $107.15
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.16 / $31.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $6.61 / $31.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $26.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.44 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $10.23 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $30.90 / $56.23