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Missouri rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Facilitymedian $14 · 10th–90th $2–$490%5%10%10th90th$14Professionalmedian $14 · 10th–90th $9–$180%10%20%10th90th$14$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
$7.94 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $9.33 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $19.50