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Power Wheelchair Foam Caster Tire, Replacement

Kentucky rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $2$360%5%10%10th90th$15Professionalmedian $19 · 10th–90th $10$240%20%10th90th$19$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
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.38
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$22.91
Typical High
$23.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$22.39
Typical High
$38.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$31.62
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$22.91
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$10.96
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$24.55