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Washington rates for HCPCS E2391

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

Facilitymedian $13 · 10th–90th $2$210%20%10th90th$13Professionalmedian $12 · 10th–90th $2$240%50%10th90th$12$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
$10.00 / $10.00 / $87.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $19.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $20.42 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $18.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $25.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $22.91
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $19.50 / $20.89
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.40 / $23.99
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $16.60 / $22.91
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.72 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $20.42 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.75 / $19.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07