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Power Wheelchair Foam Caster Tire, Replacement

Virginia rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $18 · 10th–90th $2$300%10%10th90th$18Professionalmedian $19 · 10th–90th $16$240%50%10th90th$19$1.0$2.0$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$19.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$22.91
Typical High
$22.91
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
$21.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.18
Typical High
$37.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$24.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$19.05
Typical High
$33.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$18.20
Typical High
$31.62
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$13.49
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$10.96
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$25.70