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Power Wheelchair Foam Caster Tire, Replacement

South Carolina rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $2$330%10%10th90th$17Professionalmedian $21 · 10th–90th $17$230%20%10th90th$21$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
$17.78
Median
$22.39
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$24.55
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$21.38
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$37.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$19.50
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$10.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$12.02
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$12.30
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$23.44