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Power Wheelchair Foam Caster Tire, Replacement

Maryland rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $1$250%5%10th90th$11Professionalmedian $17 · 10th–90th $14$220%20%40%10th90th$17$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
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$22.39
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.91
Typical High
$22.91
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
$17.78
Typical High
$21.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$10.96
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$17.38
Typical High
$28.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$23.99