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Maryland rates for HCPCS E2389

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

Facilitymedian $11 · 10th–90th $1–$230%5%10%10th90th$11Professionalmedian $17 · 10th–90th $15–$250%20%40%10th90th$17$1.0$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
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $25.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $22.91
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 / $17.78 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $10.96 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $28.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.18