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Power Wheelchair Foam Caster Tire, Replacement

Massachusetts rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $2$340%20%10th90th$14Professionalmedian $14 · 10th–90th $14$320%50%10th90th$14$0.0$0.1$0.5$2.0$10.0$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
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$25.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$158.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$26.92
Typical High
$31.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$28.18
Typical High
$28.18
Health New England
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$158.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$26.92
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$12.30
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$24.55
Typical High
$33.11