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West Virginia rates for HCPCS E2389

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

Facilitymedian $21 · 10th–90th $2–$470%10%10th90th$21Professionalmedian $19 · 10th–90th $16–$210%20%10th90th$19$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
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $20.89
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $16.22 / $24.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $17.38 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $13.80 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.62 / $28.84