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Connecticut rates for HCPCS E2389

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

Facilitymedian $15 · 10th–90th $2–$210%20%10th90th$15Professionalmedian $18 · 10th–90th $13–$250%20%10th90th$18$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.38
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.90
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $13.18 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.22 / $23.44