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Power Wheelchair Foam Caster Tire, Replacement

Rhode Island 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$210%20%40%10th90th$15Professionalmedian $14 · 10th–90th $13$170%20%40%10th90th$14$2.0$5.0$10.0$20.0

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
$13.49
Median
$14.45
Typical High
$14.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$17.38
Typical High
$24.55
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
$17.78
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$15.49
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$27.54