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Power Wheelchair Foam Caster Tire, Replacement

Arizona rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $16 · 10th–90th $1$350%10%10th90th$16Professionalmedian $25 · 10th–90th $14$300%20%10th90th$25$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
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$24.55
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.07
Typical High
$1.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$63.10
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
$17.78
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$12.02
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$24.55