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Power Wheelchair Foam Caster Tire, Replacement

Georgia rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $1$330%5%10%10th90th$14Professionalmedian $18 · 10th–90th $10$260%10%10th90th$18$1.0$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
$13.49
Median
$17.38
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$22.91
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$20.89
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$20.89
Typical High
$28.18
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
$21.38
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.11
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$10.96
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.38
Typical High
$28.18