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Power Wheelchair Foam Caster Tire, Replacement

Indiana rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $2$350%20%10th90th$20Professionalmedian $21 · 10th–90th $11$270%20%10th90th$21$1.0$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
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.95
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$37.15
Typical High
$54.95
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
$21.38
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$14.13
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.38
Typical High
$25.12