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E2220 — Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Solid propuls tire, repl, ea”

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.

E2220 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $33.23 to $45.57 depending on state and rural status.

StateNon-ruralRural
AK$45.57
AL$34.56$34.56
AR$36.21$39.80
AZ$33.73$39.80
CA$34.08$39.80
CO$36.13$39.80
CT$37.96$39.55
DC$33.23$34.56
DE$33.23$39.80
FL$36.21$39.80
GA$36.21$39.80
HI$42.85
IA$35.48$39.80
ID$36.13$39.80
IL$34.50$39.80
IN$34.50$36.08
KS$35.48$36.35
KY$34.56$34.56
LA$36.21$39.80
MA$37.96$39.80
MD$33.23$39.80
ME$37.96$39.80
MI$34.50$34.56
MN$35.48$36.08
MO$35.48$39.05
MS$36.21$39.80
MT$34.56$34.56
NC$36.21$39.80
ND$35.48$37.09
NE$35.48$38.30
NH$34.56$34.56
NJ$33.23$39.80
NM$33.73$39.80
NV$34.08$39.80
NY$33.23$35.17
OH$34.50$34.56
OK$33.73$39.80
OR$34.08$34.56
PA$33.23$34.56
PR$45.16
RI$37.96$39.80
SC$36.21$39.80
SD$35.48$36.84
TN$36.21$39.80
TX$33.73$34.56
UT$36.13$38.34
VA$34.56$34.56
VI$35.17
VT$34.56$34.56
WA$34.08$39.80
WI$34.50$39.80
WV$36.21$36.71
WY$36.13$37.09

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $34.57 to $51.43 depending on state and rural status.

Former-CBA payment limits: ceiling $40.67 · floor $34.57

StateNon-ruralRural
AK$51.43
AL$34.57
AR$40.67
AZ$40.67
CA$40.67
CO$40.67
CT$40.16
DC$34.57
DE$40.67
FL$40.67
GA$40.67
HI$46.03
IA$40.67
ID$40.67
IL$40.67
IN$36.10
KS$36.33
KY$34.57
LA$40.67
MA$40.67
MD$40.67
ME$40.67
MI$34.57
MN$36.10
MO$39.15
MS$40.67
MT$34.57
NC$40.67
ND$37.08
NE$38.31
NH$34.57
NJ$40.67
NM$40.67
NV$40.67
NY$35.18
OH$34.57
OK$40.67
OR$34.57
PA$34.57
PR$50.60
RI$40.67
SC$40.67
SD$36.85
TN$40.67
TX$34.57
UT$38.34
VA$34.57
VI$35.18
VT$34.57
WA$40.67
WI$40.67
WV$36.72
WY$37.08

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.32 to $5.16 depending on state and rural status.

StateNon-ruralRural
AK$4.56
AL$3.62$3.77
AR$3.62$3.91
AZ$3.37$3.91
CA$3.41$3.91
CO$3.62$3.91
CT$3.79$3.91
DC$3.32$3.34
DE$3.32$3.91
FL$3.62$3.91
GA$3.62$3.91
HI$4.27
IA$3.55$3.91
ID$3.62$3.91
IL$3.45$3.91
IN$3.45$3.61
KS$3.55$3.66
KY$3.34$3.34
LA$3.62$3.91
MA$3.79$3.91
MD$3.32$3.91
ME$3.79$3.91
MI$3.42$3.42
MN$3.55$3.61
MO$3.55$3.91
MS$3.62$3.91
MT$3.34$3.34
NC$3.62$3.91
ND$3.55$3.72
NE$3.55$3.85
NH$3.77$3.77
NJ$3.32$3.91
NM$3.37$3.91
NV$3.41$3.91
NY$3.32$3.51
OH$3.45$3.45
OK$3.37$3.91
OR$3.34$3.34
PA$3.32$3.39
PR$5.16
RI$3.72$3.72
SC$3.62$3.91
SD$3.55$3.71
TN$3.62$3.91
TX$3.34$3.34
UT$3.62$3.72
VA$3.34$3.34
VI$3.51
VT$3.77$3.77
WA$3.34$3.34
WI$3.45$3.91
WV$3.62$3.70
WY$3.62$3.72

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.34 to $6.33 depending on state and rural status.

Former-CBA payment limits: ceiling $3.93 · floor $3.34

StateNon-ruralRural
AK$5.13
AL$3.78
AR$3.93
AZ$3.93
CA$3.93
CO$3.93
CT$3.93
DC$3.34
DE$3.93
FL$3.93
GA$3.93
HI$4.56
IA$3.93
ID$3.93
IL$3.93
IN$3.62
KS$3.66
KY$3.34
LA$3.93
MA$3.93
MD$3.93
ME$3.93
MI$3.41
MN$3.62
MO$3.93
MS$3.93
MT$3.34
NC$3.93
ND$3.74
NE$3.86
NH$3.78
NJ$3.93
NM$3.93
NV$3.93
NY$3.52
OH$3.46
OK$3.93
OR$3.34
PA$3.39
PR$6.33
RI$3.74
SC$3.93
SD$3.73
TN$3.93
TX$3.34
UT$3.74
VA$3.34
VI$3.52
VT$3.78
WA$3.34
WI$3.93
WV$3.71
WY$3.74

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $24.92 to $49.72 depending on state and rural status.

StateNon-ruralRural
AK$34.15
AL$27.16$27.54
AR$27.16$30.15
AZ$25.30$30.15
CA$25.56$30.15
CO$27.10$30.15
CT$28.47$29.67
DC$24.92$26.44
DE$24.92$30.15
FL$27.16$30.15
GA$27.16$30.15
HI$32.12
IA$26.61$30.15
ID$27.10$30.15
IL$25.88$30.15
IN$25.88$27.05
KS$26.61$27.30
KY$26.44$26.44
LA$27.16$30.15
MA$28.47$30.15
MD$24.92$30.15
ME$28.47$30.15
MI$25.88$26.44
MN$26.61$27.05
MO$26.61$29.30
MS$27.16$30.15
MT$26.44$26.44
NC$27.16$30.15
ND$26.61$27.84
NE$26.61$28.71
NH$26.44$26.44
NJ$24.92$30.09
NM$25.30$30.15
NV$25.56$30.15
NY$24.92$26.44
OH$25.88$26.44
OK$25.30$30.15
OR$25.56$26.44
PA$24.92$26.44
PR$49.72
RI$28.47$30.15
SC$27.16$30.15
SD$26.61$27.64
TN$27.16$30.15
TX$25.30$26.44
UT$27.10$28.76
VA$27.16$30.15
VI$26.44
VT$26.44$26.44
WA$25.56$30.15
WI$25.88$30.15
WV$27.16$27.54
WY$27.10$27.84

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $26.43 to $69.67 depending on state and rural status.

Former-CBA payment limits: ceiling $31.09 · floor $26.43

StateNon-ruralRural
AK$38.51
AL$27.54
AR$31.09
AZ$31.09
CA$31.09
CO$31.09
CT$30.14
DC$26.43
DE$31.09
FL$31.09
GA$31.09
HI$34.50
IA$31.09
ID$31.09
IL$31.09
IN$27.06
KS$27.30
KY$26.43
LA$31.09
MA$31.09
MD$31.09
ME$31.09
MI$26.43
MN$27.06
MO$29.40
MS$31.09
MT$26.43
NC$31.09
ND$27.85
NE$28.73
NH$26.43
NJ$30.97
NM$31.09
NV$31.09
NY$26.43
OH$26.43
OK$31.09
OR$26.43
PA$26.43
PR$69.67
RI$31.09
SC$31.09
SD$27.64
TN$31.09
TX$26.43
UT$28.77
VA$31.09
VI$26.43
VT$26.43
WA$31.09
WI$31.09
WV$27.54
WY$27.85
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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