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South Carolina rates for HCPCS E2389

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

Facilitymedian $17 · 10th–90th $2–$250%10%10th90th$17Professionalmedian $18 · 10th–90th $16–$220%20%10th90th$18$1.0$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
$16.22 / $18.20 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $40.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $10.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $12.02 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $12.30 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $24.55