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Power Wheelchair Foam Caster Tire, Replacement

Montana rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $14$390%20%10th90th$25Professionalmedian $26 · 10th–90th $3$390%20%10th90th$26$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
$25.70
Median
$25.70
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$34.67
Typical High
$34.67
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$38.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$38.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$33.88
Typical High
$45.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$13.80
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$24.55