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Washington rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Facilitymedian $34 · 10th–90th $5–$540%20%10th90th$34Professionalmedian $30 · 10th–90th $6–$620%20%40%10th90th$30$0.1$0.5$2.0$10.0$50.0$200.0

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
$25.70 / $26.92 / $223.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $50.12 / $50.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $53.70 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $44.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $47.86 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.17 / $52.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $42.66 / $60.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $9.77 / $47.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $53.70 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $22.91 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36