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Massachusetts rates for HCPCS E2389

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

Facilitymedian $14 · 10th–90th $3–$1000%20%10th90th$14Professionalmedian $17 · 10th–90th $13–$280%20%10th90th$17$0.0$0.1$0.5$2.0$10.0$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $154.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $28.18 / $28.18
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $154.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $12.30 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $33.11