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Virginia rates for HCPCS E2389

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

Facilitymedian $18 · 10th–90th $2–$320%10%10th90th$18Professionalmedian $19 · 10th–90th $14–$240%20%10th90th$19$1.0$2.0$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. 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
$14.45 / $19.05 / $22.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
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 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.18 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $24.55
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.05 / $33.88
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $18.20 / $31.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $13.49 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $10.96 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $25.70