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Washington rates for HCPCS E2389

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

Facilitymedian $28 · 10th–90th $3$320%20%40%10th90th$28Professionalmedian $17 · 10th–90th $4$360%20%40%10th90th$17$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
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $141.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $31.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $33.11 / $36.31
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
$17.78 / $17.78 / $27.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $30.20
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $31.62 / $32.36
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $32.36
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $26.92 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.75 / $28.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $28.84 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $12.30 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $30.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07