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Power Wheelchair Foam Caster Tire, Replacement

Utah rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $1$250%10%20%10th90th$15Professionalmedian $18 · 10th–90th $3$1410%10%20%10th90th$18$0.5$2.0$10.0$50.0

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
$10.47
Median
$10.96
Typical High
$141.25
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
$21.38
Typical High
$37.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.44
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$35.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.39
Typical High
$33.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.98
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$13.80
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$15.85
Typical High
$31.62