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Power Wheelchair Foam Caster Tire, Replacement

Louisiana rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $2$210%10%10th90th$12Professionalmedian $20 · 10th–90th $10$260%20%10th90th$20$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
$10.47
Median
$19.95
Typical High
$23.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$11.22
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.98
Typical High
$25.12