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Minnesota rates for HCPCS E2389

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

Facilitymedian $33 · 10th–90th $10–$790%20%10th90th$33Professionalmedian $19 · 10th–90th $16–$370%50%10th90th$19$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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $47.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $70.79
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $34.67 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $12.30 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $27.54 / $53.70