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Power Wheelchair Foam Caster Tire, Replacement

Tennessee rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $2$1580%10%20%10th90th$21Professionalmedian $20 · 10th–90th $16$250%20%10th90th$20$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
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.95
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$21.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$14.79
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$17.78
Typical High
$25.12