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E2381 — Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Pneum drive wheel tire”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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.

E2381 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $69.40 to $101.61 depending on state and rural status.

StateNon-ruralRural
AK$91.46
AL$73.56$87.53
AR$73.56$87.53
AZ$71.89$86.75
CA$69.40$86.75
CO$75.28$87.53
CT$75.04$87.53
DC$74.59$87.53
DE$74.59$87.53
FL$73.56$87.53
GA$73.56$87.53
HI$91.46
IA$72.83$86.75
ID$75.28$86.75
IL$79.71$87.53
IN$79.71$87.53
KS$72.83$86.75
KY$73.56$87.53
LA$73.56$87.53
MA$75.04$87.53
MD$74.59$87.53
ME$75.04$87.53
MI$79.71$87.53
MN$72.83$87.53
MO$72.83$87.53
MS$73.56$87.53
MT$75.28$86.75
NC$73.56$87.53
ND$72.83$86.75
NE$72.83$86.75
NH$75.04$87.53
NJ$74.59$87.53
NM$71.89$87.53
NV$69.40$86.75
NY$74.59$87.53
OH$79.71$87.53
OK$71.89$87.53
OR$69.40$86.75
PA$74.59$87.53
PR$101.61
RI$75.04$87.53
SC$73.56$87.53
SD$72.83$86.75
TN$73.56$87.53
TX$71.89$87.53
UT$75.28$87.53
VA$73.56$87.53
VI$92.24
VT$75.04$87.53
WA$69.40$86.75
WI$79.71$87.53
WV$73.56$87.53
WY$75.28$86.75

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $93.42 to $109.75 depending on state and rural status.

StateNon-ruralRural
AK$98.13
AL$94.31
AR$94.31
AZ$93.42
CA$93.42
CO$94.31
CT$94.31
DC$94.31
DE$94.31
FL$94.31
GA$94.31
HI$98.13
IA$93.42
ID$93.42
IL$94.31
IN$94.31
KS$93.42
KY$94.31
LA$94.31
MA$94.31
MD$94.31
ME$94.31
MI$94.31
MN$94.31
MO$94.31
MS$94.31
MT$93.42
NC$94.31
ND$93.42
NE$93.42
NH$94.31
NJ$94.31
NM$94.31
NV$93.42
NY$94.31
OH$94.31
OK$94.31
OR$93.42
PA$94.31
PR$109.75
RI$94.31
SC$94.31
SD$93.42
TN$94.31
TX$94.31
UT$94.31
VA$94.31
VI$99.02
VT$94.31
WA$93.42
WI$94.31
WV$94.31
WY$93.42

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $91.98 to $112.29 depending on state and rural status.

Former-CBA payment limits: ceiling $93.56 · floor $79.53

StateNon-ruralRural
AK$91.98
AL$93.56
AR$93.56
AZ$91.98
CA$91.98
CO$93.56
CT$93.56
DC$93.56
DE$93.56
FL$93.56
GA$93.56
HI$91.98
IA$91.98
ID$91.98
IL$93.56
IN$93.56
KS$91.98
KY$93.56
LA$93.56
MA$93.56
MD$93.56
ME$93.56
MI$93.56
MN$93.56
MO$93.56
MS$93.56
MT$91.98
NC$93.56
ND$91.98
NE$91.98
NH$93.56
NJ$93.56
NM$93.56
NV$91.98
NY$93.56
OH$93.56
OK$93.56
OR$91.98
PA$93.56
PR$112.29
RI$93.56
SC$93.56
SD$91.98
TN$93.56
TX$93.56
UT$93.56
VA$93.56
VI$93.56
VT$93.56
WA$91.98
WI$93.56
WV$93.56
WY$91.98

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.94 to $10.17 depending on state and rural status.

StateNon-ruralRural
AK$9.14
AL$7.36$8.77
AR$7.36$8.77
AZ$7.19$8.67
CA$6.94$8.67
CO$7.53$8.77
CT$7.50$8.77
DC$7.46$8.77
DE$7.46$8.77
FL$7.36$8.77
GA$7.36$8.77
HI$9.14
IA$7.28$8.67
ID$7.53$8.67
IL$7.97$8.77
IN$7.97$8.77
KS$7.28$8.67
KY$7.36$8.77
LA$7.36$8.77
MA$7.50$8.77
MD$7.46$8.77
ME$7.50$8.77
MI$7.97$8.77
MN$7.28$8.77
MO$7.28$8.77
MS$7.36$8.77
MT$7.53$8.67
NC$7.36$8.77
ND$7.28$8.67
NE$7.28$8.67
NH$7.50$8.77
NJ$7.46$8.77
NM$7.19$8.77
NV$6.94$8.67
NY$7.46$8.77
OH$7.97$8.77
OK$7.19$8.77
OR$6.94$8.67
PA$7.46$8.77
PR$10.17
RI$7.50$8.77
SC$7.36$8.77
SD$7.28$8.67
TN$7.36$8.77
TX$7.19$8.77
UT$7.53$8.77
VA$7.36$8.77
VI$9.24
VT$7.50$8.77
WA$6.94$8.67
WI$7.97$8.77
WV$7.36$8.77
WY$7.53$8.67

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.33 to $10.99 depending on state and rural status.

StateNon-ruralRural
AK$9.80
AL$9.45
AR$9.45
AZ$9.33
CA$9.33
CO$9.45
CT$9.45
DC$9.45
DE$9.45
FL$9.45
GA$9.45
HI$9.80
IA$9.33
ID$9.33
IL$9.45
IN$9.45
KS$9.33
KY$9.45
LA$9.45
MA$9.45
MD$9.45
ME$9.45
MI$9.45
MN$9.45
MO$9.45
MS$9.45
MT$9.33
NC$9.45
ND$9.33
NE$9.33
NH$9.45
NJ$9.45
NM$9.45
NV$9.33
NY$9.45
OH$9.45
OK$9.45
OR$9.33
PA$9.45
PR$10.99
RI$9.45
SC$9.45
SD$9.33
TN$9.45
TX$9.45
UT$9.45
VA$9.45
VI$9.92
VT$9.45
WA$9.33
WI$9.45
WV$9.45
WY$9.33

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $9.18 to $11.24 depending on state and rural status.

Former-CBA payment limits: ceiling $9.39 · floor $7.98

StateNon-ruralRural
AK$9.18
AL$9.39
AR$9.39
AZ$9.18
CA$9.18
CO$9.39
CT$9.39
DC$9.39
DE$9.39
FL$9.39
GA$9.39
HI$9.18
IA$9.18
ID$9.18
IL$9.39
IN$9.39
KS$9.18
KY$9.39
LA$9.39
MA$9.39
MD$9.39
ME$9.39
MI$9.39
MN$9.39
MO$9.39
MS$9.39
MT$9.18
NC$9.39
ND$9.18
NE$9.18
NH$9.39
NJ$9.39
NM$9.39
NV$9.18
NY$9.39
OH$9.39
OK$9.39
OR$9.18
PA$9.39
PR$11.24
RI$9.39
SC$9.39
SD$9.18
TN$9.39
TX$9.39
UT$9.39
VA$9.39
VI$9.39
VT$9.39
WA$9.18
WI$9.39
WV$9.39
WY$9.18

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $52.05 to $76.22 depending on state and rural status.

StateNon-ruralRural
AK$68.60
AL$55.17$65.65
AR$55.17$65.65
AZ$53.92$65.06
CA$52.05$65.06
CO$56.46$65.65
CT$56.28$65.65
DC$55.95$65.65
DE$55.95$65.65
FL$55.17$65.65
GA$55.17$65.65
HI$68.60
IA$54.62$65.06
ID$56.46$65.06
IL$59.78$65.65
IN$59.78$65.65
KS$54.62$65.06
KY$55.17$65.65
LA$55.17$65.65
MA$56.28$65.65
MD$55.95$65.65
ME$56.28$65.65
MI$59.78$65.65
MN$54.62$65.65
MO$54.62$65.65
MS$55.17$65.65
MT$56.46$65.06
NC$55.17$65.65
ND$54.62$65.06
NE$54.62$65.06
NH$56.28$65.65
NJ$55.95$65.65
NM$53.92$65.65
NV$52.05$65.06
NY$55.95$65.65
OH$59.78$65.65
OK$53.92$65.65
OR$52.05$65.06
PA$55.95$65.65
PR$76.22
RI$56.28$65.65
SC$55.17$65.65
SD$54.62$65.06
TN$55.17$65.65
TX$53.92$65.65
UT$56.46$65.65
VA$55.17$65.65
VI$69.19
VT$56.28$65.65
WA$52.05$65.06
WI$59.78$65.65
WV$55.17$65.65
WY$56.46$65.06

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $70.07 to $82.33 depending on state and rural status.

StateNon-ruralRural
AK$73.60
AL$70.74
AR$70.74
AZ$70.07
CA$70.07
CO$70.74
CT$70.74
DC$70.74
DE$70.74
FL$70.74
GA$70.74
HI$73.60
IA$70.07
ID$70.07
IL$70.74
IN$70.74
KS$70.07
KY$70.74
LA$70.74
MA$70.74
MD$70.74
ME$70.74
MI$70.74
MN$70.74
MO$70.74
MS$70.74
MT$70.07
NC$70.74
ND$70.07
NE$70.07
NH$70.74
NJ$70.74
NM$70.74
NV$70.07
NY$70.74
OH$70.74
OK$70.74
OR$70.07
PA$70.74
PR$82.33
RI$70.74
SC$70.74
SD$70.07
TN$70.74
TX$70.74
UT$70.74
VA$70.74
VI$74.27
VT$70.74
WA$70.07
WI$70.74
WV$70.74
WY$70.07

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $68.97 to $84.25 depending on state and rural status.

Former-CBA payment limits: ceiling $70.16 · floor $59.64

StateNon-ruralRural
AK$68.97
AL$70.16
AR$70.16
AZ$68.97
CA$68.97
CO$70.16
CT$70.16
DC$70.16
DE$70.16
FL$70.16
GA$70.16
HI$68.97
IA$68.97
ID$68.97
IL$70.16
IN$70.16
KS$68.97
KY$70.16
LA$70.16
MA$70.16
MD$70.16
ME$70.16
MI$70.16
MN$70.16
MO$70.16
MS$70.16
MT$68.97
NC$70.16
ND$68.97
NE$68.97
NH$70.16
NJ$70.16
NM$70.16
NV$68.97
NY$70.16
OH$70.16
OK$70.16
OR$68.97
PA$70.16
PR$84.25
RI$70.16
SC$70.16
SD$68.97
TN$70.16
TX$70.16
UT$70.16
VA$70.16
VI$70.16
VT$70.16
WA$68.97
WI$70.16
WV$70.16
WY$68.97
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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