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E2211 — Manual wheelchair accessory, pneumatic propulsion tire, any size, each

HCPCS Level II E-code · short descriptor: “Pneumatic propulsion tire”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E2211 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $39.76 to $115.06 depending on state and rural status.

StateNon-ruralRural
AK$109.26
AL$42.08$47.51
AR$42.08$47.67
AZ$40.47$47.50
CA$42.15$51.87
CO$40.03$51.87
CT$42.42$51.87
DC$41.32$51.87
DE$41.32$51.87
FL$42.08$51.87
GA$42.08$48.79
HI$115.06
IA$39.76$47.50
ID$40.03$47.50
IL$41.48$48.98
IN$41.48$47.50
KS$39.76$51.87
KY$42.08$51.87
LA$42.08$48.37
MA$42.42$51.87
MD$41.32$51.87
ME$42.42$51.87
MI$41.48$47.50
MN$39.76$47.50
MO$39.76$51.87
MS$42.08$47.50
MT$40.03$51.49
NC$42.08$51.87
ND$39.76$51.87
NE$39.76$51.87
NH$42.42$51.87
NJ$41.32$51.87
NM$40.47$51.87
NV$42.15$47.50
NY$41.32$49.27
OH$41.48$47.50
OK$40.47$51.87
OR$42.15$50.56
PA$41.32$47.50
PR$61.07
RI$42.42$51.87
SC$42.08$50.07
SD$39.76$51.87
TN$42.08$47.50
TX$40.47$47.50
UT$40.03$49.09
VA$42.08$51.87
VI$52.17
VT$42.42$51.87
WA$42.15$51.87
WI$41.48$51.87
WV$42.08$47.50
WY$40.03$47.50

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $49.56 to $178.90 depending on state and rural status.

Former-CBA payment limits: ceiling $58.31 · floor $49.56

StateNon-ruralRural
AK$167.31
AL$49.61
AR$49.91
AZ$49.56
CA$58.31
CO$58.31
CT$58.31
DC$58.31
DE$58.31
FL$58.31
GA$52.17
HI$178.90
IA$49.56
ID$49.56
IL$52.53
IN$49.56
KS$58.31
KY$58.31
LA$51.30
MA$58.31
MD$58.31
ME$58.31
MI$49.56
MN$49.56
MO$58.31
MS$49.56
MT$57.55
NC$58.31
ND$58.31
NE$58.31
NH$58.31
NJ$58.31
NM$58.31
NV$49.56
NY$53.12
OH$49.56
OK$58.31
OR$55.70
PA$49.56
PR$70.95
RI$58.31
SC$54.72
SD$58.31
TN$49.56
TX$49.56
UT$52.75
VA$58.31
VI$53.12
VT$58.31
WA$58.31
WI$58.31
WV$49.56
WY$49.56

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.97 to $11.52 depending on state and rural status.

StateNon-ruralRural
AK$10.93
AL$4.21$5.13
AR$4.21$4.70
AZ$4.05$5.13
CA$4.21$5.13
CO$4.01$5.13
CT$4.24$5.13
DC$4.13$5.13
DE$4.13$5.13
FL$4.21$5.13
GA$4.21$4.87
HI$11.52
IA$3.97$4.72
ID$4.01$4.70
IL$4.15$4.90
IN$4.15$4.70
KS$3.97$5.13
KY$4.21$5.13
LA$4.21$4.84
MA$4.24$5.09
MD$4.13$5.13
ME$4.24$5.13
MI$4.15$4.70
MN$3.97$4.70
MO$3.97$5.13
MS$4.21$4.70
MT$4.01$5.13
NC$4.21$5.13
ND$3.97$5.13
NE$3.97$5.13
NH$4.24$5.09
NJ$4.13$5.13
NM$4.05$5.13
NV$4.21$5.13
NY$4.13$4.94
OH$4.15$4.70
OK$4.05$5.13
OR$4.21$5.06
PA$4.13$4.70
PR$7.00
RI$4.24$5.06
SC$4.21$5.01
SD$3.97$5.13
TN$4.21$4.70
TX$4.05$4.70
UT$4.01$4.92
VA$4.21$5.13
VI$5.23
VT$4.24$5.13
WA$4.21$5.06
WI$4.15$5.13
WV$4.21$4.70
WY$4.01$4.70

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.85 to $17.92 depending on state and rural status.

Former-CBA payment limits: ceiling $5.71 · floor $4.85

StateNon-ruralRural
AK$16.73
AL$5.71
AR$4.85
AZ$5.71
CA$5.71
CO$5.71
CT$5.71
DC$5.71
DE$5.71
FL$5.71
GA$5.19
HI$17.92
IA$4.90
ID$4.87
IL$5.26
IN$4.85
KS$5.71
KY$5.71
LA$5.12
MA$5.63
MD$5.71
ME$5.71
MI$4.85
MN$4.85
MO$5.71
MS$4.85
MT$5.71
NC$5.71
ND$5.71
NE$5.71
NH$5.63
NJ$5.71
NM$5.71
NV$5.71
NY$5.33
OH$4.85
OK$5.71
OR$5.59
PA$4.85
PR$8.86
RI$5.58
SC$5.48
SD$5.71
TN$4.85
TX$4.85
UT$5.31
VA$5.71
VI$5.33
VT$5.71
WA$5.59
WI$5.71
WV$4.85
WY$4.85

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $29.82 to $86.30 depending on state and rural status.

StateNon-ruralRural
AK$81.95
AL$31.56$34.79
AR$31.56$35.75
AZ$30.35$34.79
CA$31.62$37.92
CO$30.02$37.92
CT$31.82$37.92
DC$30.99$37.92
DE$30.99$37.92
FL$31.56$37.92
GA$31.56$35.38
HI$86.30
IA$29.82$35.26
ID$30.02$35.17
IL$31.11$36.75
IN$31.11$34.79
KS$29.82$37.92
KY$31.56$37.92
LA$31.56$36.26
MA$31.82$37.92
MD$30.99$37.92
ME$31.82$37.92
MI$31.11$34.79
MN$29.82$34.79
MO$29.82$37.92
MS$31.56$34.79
MT$30.02$37.92
NC$31.56$37.92
ND$29.82$37.92
NE$29.82$37.92
NH$31.82$37.92
NJ$30.99$37.92
NM$30.35$37.92
NV$31.62$34.79
NY$30.99$36.96
OH$31.11$34.79
OK$30.35$37.92
OR$31.62$37.92
PA$30.99$34.79
PR$45.81
RI$31.82$37.92
SC$31.56$37.56
SD$29.82$37.92
TN$31.56$34.81
TX$30.35$34.79
UT$30.02$36.82
VA$31.56$37.57
VI$39.14
VT$31.82$37.92
WA$31.62$37.92
WI$31.11$35.30
WV$31.56$34.79
WY$30.02$34.79

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $35.50 to $134.18 depending on state and rural status.

Former-CBA payment limits: ceiling $41.77 · floor $35.50

StateNon-ruralRural
AK$125.47
AL$35.50
AR$37.41
AZ$35.50
CA$41.77
CO$41.77
CT$41.77
DC$41.77
DE$41.77
FL$41.77
GA$36.70
HI$134.18
IA$36.43
ID$36.26
IL$39.42
IN$35.50
KS$41.77
KY$41.77
LA$38.44
MA$41.77
MD$41.77
ME$41.77
MI$35.50
MN$35.50
MO$41.77
MS$35.50
MT$41.77
NC$41.77
ND$41.77
NE$41.77
NH$41.77
NJ$41.77
NM$41.77
NV$35.50
NY$39.86
OH$35.50
OK$41.77
OR$41.77
PA$35.50
PR$53.22
RI$41.77
SC$41.06
SD$41.77
TN$35.57
TX$35.50
UT$39.58
VA$41.07
VI$39.86
VT$41.77
WA$41.77
WI$36.54
WV$35.50
WY$35.50
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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Related E-codes

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