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Power Wheelchair Foam Caster Tire, Replacement

Colorado rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $18 · 10th–90th $3$270%20%10th90th$18Professionalmedian $17 · 10th–90th $13$250%20%40%10th90th$17$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
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.22
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$25.70
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$19.50
Typical High
$35.48
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$69.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$21.88
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$14.13
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$24.55