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Power Wheelchair Foam Caster Tire, Replacement

Illinois rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $2$330%10%10th90th$19Professionalmedian $19 · 10th–90th $3$270%20%10th90th$19$1.0$5.0$20.0$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
$15.85
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.24
Typical High
$4.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.51
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$17.38
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$28.84