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North Dakota rates for HCPCS E2389

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

Facilitymedian $23 · 10th–90th $19–$590%50%10th90th$23Professionalmedian $23 · 10th–90th $19–$360%20%10th90th$23$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.02 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $15.49 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $26.92 / $39.81