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Power Wheelchair Foam Caster Tire, Replacement

Nebraska 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$370%10%10th90th$21Professionalmedian $25 · 10th–90th $10$250%50%10th$25$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
Professional
Modifier
Global
Typical Low
$10.00
Median
$25.12
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$36.31
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$33.11
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$26.92
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$36.31
Typical High
$69.18
Midlands
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$15.49
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$30.20