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Idaho rates for HCPCS E2389

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

Facilitymedian $24 · 10th–90th $3$320%10%20%10th90th$24Professionalmedian $30 · 10th–90th $16$350%20%10th90th$30$2.0$5.0$10.0$20.0$50.0

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
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $46.77 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.88 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $23.44 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $17.38 / $23.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $52.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $13.18 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $25.12