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Power Wheelchair Foam Caster Tire, Replacement

Washington rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $3$320%20%40%10th90th$27Professionalmedian $16 · 10th–90th $3$350%50%10th90th$16$0.0$0.1$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$141.25
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$31.62
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$33.11
Typical High
$36.31
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
$17.78
Typical High
$25.70
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$30.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$31.62
Typical High
$32.36
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.24
Typical High
$32.36
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$26.92
Typical High
$37.15
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$5.75
Typical High
$28.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$33.11
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$12.30
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$30.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07