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Massachusetts rates for HCPCS E2392

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

Facilitymedian $28 · 10th–90th $4–$1000%20%40%10th90th$28Professionalmedian $29 · 10th–90th $24–$460%20%40%10th90th$29$0.1$0.2$1.0$5.0$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $40.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $245.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $45.71
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $245.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $19.50 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $41.69 / $61.66