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Power Wheelchair Foam Caster Tire, Replacement

Oklahoma rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $2$330%5%10%10th90th$19Professionalmedian $13 · 10th–90th $3$210%10%20%10th90th$13$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
$16.98
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.82
Typical High
$2.82
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
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$24.55
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$14.79
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$25.12