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E2214 — Manual wheelchair accessory, pneumatic caster tire, any size, each

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

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.

E2214 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $38.09 to $60.83 depending on state and rural status.

StateNon-ruralRural
AK$60.83
AL$38.09$43.62
AR$38.09$47.50
AZ$38.27$43.62
CA$38.84$47.50
CO$40.71$47.50
CT$42.44$43.62
DC$39.03$47.50
DE$39.03$47.50
FL$38.09$43.62
GA$38.09$43.62
HI$57.51
IA$40.64$47.50
ID$40.71$47.50
IL$40.73$43.62
IN$40.73$47.50
KS$40.64$43.62
KY$38.09$43.62
LA$38.09$47.50
MA$42.44$47.50
MD$39.03$44.73
ME$42.44$47.50
MI$40.73$47.50
MN$40.64$47.50
MO$40.64$47.50
MS$38.09$43.62
MT$40.71$47.50
NC$38.09$43.62
ND$40.64$47.50
NE$40.64$43.62
NH$42.44$47.50
NJ$39.03$47.50
NM$38.27$47.50
NV$38.84$43.81
NY$39.03$43.62
OH$40.73$43.62
OK$38.27$47.50
OR$38.84$43.62
PA$39.03$47.50
PR$52.41
RI$42.44$47.50
SC$38.09$43.62
SD$40.64$47.50
TN$38.09$43.62
TX$38.27$43.62
UT$40.71$43.62
VA$38.09$43.62
VI$43.62
VT$42.44$47.50
WA$38.84$47.50
WI$40.73$47.50
WV$38.09$43.62
WY$40.71$47.50

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $43.61 to $70.60 depending on state and rural status.

Former-CBA payment limits: ceiling $51.30 · floor $43.61

StateNon-ruralRural
AK$70.60
AL$43.61
AR$51.30
AZ$43.61
CA$51.30
CO$51.30
CT$43.61
DC$51.30
DE$51.30
FL$43.61
GA$43.61
HI$63.98
IA$51.30
ID$51.30
IL$43.61
IN$51.30
KS$43.61
KY$43.61
LA$51.30
MA$51.30
MD$45.77
ME$51.30
MI$51.30
MN$51.30
MO$51.30
MS$43.61
MT$51.30
NC$43.62
ND$51.30
NE$43.61
NH$51.30
NJ$51.30
NM$51.30
NV$43.93
NY$43.61
OH$43.61
OK$51.30
OR$43.61
PA$51.30
PR$53.78
RI$51.30
SC$43.61
SD$51.30
TN$43.62
TX$43.61
UT$43.61
VA$43.61
VI$43.61
VT$51.30
WA$51.30
WI$51.30
WV$43.61
WY$51.30

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.81 to $6.08 depending on state and rural status.

StateNon-ruralRural
AK$6.08
AL$3.81$5.00
AR$3.81$5.00
AZ$3.83$5.00
CA$3.89$5.00
CO$4.08$5.00
CT$4.25$4.58
DC$3.90$5.00
DE$3.90$5.00
FL$3.81$4.58
GA$3.81$4.58
HI$5.75
IA$4.07$5.00
ID$4.08$4.90
IL$4.07$4.58
IN$4.07$5.00
KS$4.07$4.58
KY$3.81$4.58
LA$3.81$5.00
MA$4.25$5.00
MD$3.90$4.58
ME$4.25$5.00
MI$4.07$5.00
MN$4.07$5.00
MO$4.07$5.00
MS$3.81$4.58
MT$4.08$5.00
NC$3.81$4.58
ND$4.07$4.75
NE$4.07$4.58
NH$4.25$5.00
NJ$3.90$5.00
NM$3.83$5.00
NV$3.89$5.00
NY$3.90$4.58
OH$4.07$4.58
OK$3.83$5.00
OR$3.89$4.58
PA$3.90$4.81
PR$5.24
RI$4.25$5.00
SC$3.81$4.58
SD$4.07$4.75
TN$3.81$4.58
TX$3.83$4.58
UT$4.08$5.00
VA$3.81$4.58
VI$4.79
VT$4.25$5.00
WA$3.89$4.58
WI$4.07$5.00
WV$3.81$4.58
WY$4.08$4.75

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.79 to $7.05 depending on state and rural status.

Former-CBA payment limits: ceiling $5.63 · floor $4.79

StateNon-ruralRural
AK$7.05
AL$5.63
AR$5.63
AZ$5.63
CA$5.63
CO$5.63
CT$4.79
DC$5.63
DE$5.63
FL$4.79
GA$4.79
HI$6.41
IA$5.63
ID$5.45
IL$4.79
IN$5.63
KS$4.79
KY$4.79
LA$5.63
MA$5.63
MD$4.79
ME$5.63
MI$5.63
MN$5.63
MO$5.63
MS$4.79
MT$5.63
NC$4.79
ND$5.12
NE$4.79
NH$5.63
NJ$5.63
NM$5.63
NV$5.63
NY$4.79
OH$4.79
OK$5.63
OR$4.79
PA$5.26
PR$5.38
RI$5.63
SC$4.79
SD$5.12
TN$4.79
TX$4.79
UT$5.63
VA$4.79
VI$4.79
VT$5.63
WA$4.79
WI$5.63
WV$4.79
WY$5.12

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $28.57 to $45.62 depending on state and rural status.

StateNon-ruralRural
AK$45.62
AL$28.57$33.81
AR$28.57$35.61
AZ$28.71$32.69
CA$29.13$35.61
CO$30.54$35.61
CT$31.83$32.69
DC$29.28$35.61
DE$29.28$35.61
FL$28.57$32.69
GA$28.57$32.69
HI$43.12
IA$30.48$35.61
ID$30.54$35.61
IL$30.55$32.69
IN$30.55$35.61
KS$30.48$32.69
KY$28.57$32.69
LA$28.57$35.61
MA$31.83$35.61
MD$29.28$33.56
ME$31.83$35.61
MI$30.55$35.61
MN$30.48$35.61
MO$30.48$35.61
MS$28.57$32.69
MT$30.54$35.61
NC$28.57$32.74
ND$30.48$35.61
NE$30.48$32.69
NH$31.83$35.61
NJ$29.28$35.61
NM$28.71$35.61
NV$29.13$32.85
NY$29.28$32.69
OH$30.55$32.69
OK$28.71$35.61
OR$29.13$32.69
PA$29.28$35.61
PR$39.33
RI$31.83$35.61
SC$28.57$32.69
SD$30.48$35.61
TN$28.57$32.74
TX$28.71$32.69
UT$30.54$32.69
VA$28.57$32.69
VI$32.69
VT$31.83$35.61
WA$29.13$35.61
WI$30.55$35.61
WV$28.57$32.69
WY$30.54$35.61

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $32.67 to $52.99 depending on state and rural status.

Former-CBA payment limits: ceiling $38.44 · floor $32.67

StateNon-ruralRural
AK$52.99
AL$34.84
AR$38.44
AZ$32.67
CA$38.44
CO$38.44
CT$32.67
DC$38.44
DE$38.44
FL$32.67
GA$32.67
HI$47.95
IA$38.44
ID$38.44
IL$32.67
IN$38.44
KS$32.67
KY$32.67
LA$38.44
MA$38.44
MD$34.36
ME$38.44
MI$38.44
MN$38.44
MO$38.44
MS$32.67
MT$38.44
NC$32.72
ND$38.44
NE$32.67
NH$38.44
NJ$38.44
NM$38.44
NV$32.94
NY$32.67
OH$32.67
OK$38.44
OR$32.67
PA$38.44
PR$40.38
RI$38.44
SC$32.67
SD$38.44
TN$32.72
TX$32.67
UT$32.67
VA$32.67
VI$32.67
VT$38.44
WA$38.44
WI$38.44
WV$32.67
WY$38.44
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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