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Power Wheelchair Foam Caster Tire, Replacement

Missouri rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $2$400%10%10th90th$21Professionalmedian $22 · 10th–90th $13$290%20%10th90th$22$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
$13.18
Median
$21.38
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$21.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.30
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$15.49
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$28.84