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Power Wheelchair Foam Caster Tire, Replacement

West Virginia rates for HCPCS E2389

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $2$410%10%10th90th$21Professionalmedian $19 · 10th–90th $17$210%20%10th90th$19$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$21.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$16.22
Typical High
$24.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$17.38
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$28.18
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$13.80
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$28.84