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Power Wheelchair Foam Caster Tire, Replacement

Texas rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $3$1580%10%10th90th$21Professionalmedian $17 · 10th–90th $12$260%20%10th90th$17$1.0$5.0$20.0$100.0$500.0$2.0K

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
$12.30
Median
$16.98
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.95
Typical High
$1.95
Christus
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$25.70
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$158.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$23.44
Typical High
$33.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$31.62
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$26.92
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$33.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$12.30
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$23.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99