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Maine rates for HCPCS E2389

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

Facilitymedian $21 · 10th–90th $2–$410%10%20%10th90th$21Professionalmedian $21 · 10th–90th $16–$330%20%10th90th$21$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.05 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.99 / $23.99
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 / $32.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $28.18 / $28.18
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $18.20 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $18.62 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $28.18 / $37.15