go back

Power Wheelchair Foam Caster Tire, Replacement

Wisconsin rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $3$790%10%10th90th$33Professionalmedian $28 · 10th–90th $16$410%10%20%10th90th$28$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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$60.26
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$40.74
Typical High
$64.57
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$26.30
Typical High
$38.90
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$38.90
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$13.49
Typical High
$64.57
Network Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$56.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$26.30
Typical High
$38.90
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.59
Typical High
$10.47
Quartz
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$67.61
Typical High
$154.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$12.30
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.62
Typical High
$33.11