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Power Wheelchair Foam Caster Tire, Replacement

New Jersey 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$330%10%10th90th$15Professionalmedian $18 · 10th–90th $10$270%10%20%10th90th$18$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
$14.45
Typical High
$26.92
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
$21.38
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$30.90
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$13.49
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$28.18