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Power Wheelchair Foam Caster Tire, Replacement

New Mexico 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 $18 · 10th–90th $3$1410%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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.57
Typical High
$2.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$15.85
Typical High
$48.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.98
Typical High
$26.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$21.38
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$12.30
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$24.55