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Iowa rates for HCPCS E2389

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

Facilitymedian $20 · 10th–90th $2–$1510%5%10%10th90th$20Professionalmedian $18 · 10th–90th $13–$290%10%20%10th90th$18$1.0$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
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $37.15 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $50.12 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $38.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $85.11
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.38 / $43.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $29.51