go back

Power Wheelchair Foam Caster Tire, Replacement

Alaska rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $3$320%10%20%10th90th$21Professionalmedian $25 · 10th–90th $3$340%20%10th90th$25$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
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$23.44
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$107.15
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.16
Typical High
$31.62
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$6.61
Typical High
$31.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$26.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$13.80
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$56.23