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Power Wheelchair Foam Caster Tire, Replacement

Michigan 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$250%10%10th90th$15Professionalmedian $24 · 10th–90th $10$320%20%10th90th$24$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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$24.55
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$30.90
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$16.22
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$26.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$23.99
Typical High
$33.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$11.22
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$27.54