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Power Wheelchair Foam Caster Tire, Replacement

Idaho rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $3$320%10%20%10th90th$23Professionalmedian $30 · 10th–90th $15$350%20%10th90th$30$2.0$5.0$10.0$20.0$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
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$34.67
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$23.44
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.63
Typical High
$23.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$52.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$24.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$33.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$4.37
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$13.80
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$25.12