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Missouri rates for HCPCS E2389

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

Facilitymedian $20 · 10th–90th $2–$660%5%10%10th90th$20Professionalmedian $20 · 10th–90th $13–$260%20%10th90th$20$2.0$5.0$10.0$20.0$50.0$100.0

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
$12.88 / $18.20 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.38 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $13.49 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.85 / $28.18