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E2383 — Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Insert, pneum wheel drive”

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.

E2383 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $149.07 to $202.86 depending on state and rural status.

StateNon-ruralRural
AK$182.63
AL$150.07$178.78
AR$150.07$178.78
AZ$154.09$177.22
CA$149.07$177.22
CO$161.92$178.78
CT$166.10$178.78
DC$151.58$178.78
DE$151.58$178.78
FL$150.07$178.78
GA$150.07$178.78
HI$182.63
IA$152.41$177.22
ID$161.92$177.22
IL$164.29$178.78
IN$164.29$178.78
KS$152.41$177.22
KY$150.07$178.78
LA$150.07$178.78
MA$166.10$178.78
MD$151.58$178.78
ME$166.10$178.78
MI$164.29$178.78
MN$152.41$178.78
MO$152.41$178.78
MS$150.07$178.78
MT$161.92$177.22
NC$150.07$178.78
ND$152.41$177.22
NE$152.41$177.22
NH$166.10$178.78
NJ$151.58$178.78
NM$154.09$178.78
NV$149.07$177.22
NY$151.58$178.78
OH$164.29$178.78
OK$154.09$178.78
OR$149.07$177.22
PA$151.58$178.78
PR$202.86
RI$166.10$178.78
SC$150.07$178.78
SD$152.41$177.22
TN$150.07$178.78
TX$154.09$178.78
UT$161.92$178.78
VA$150.07$178.78
VI$184.20
VT$166.10$178.78
WA$149.07$178.78
WI$164.29$178.78
WV$150.07$178.78
WY$161.92$177.22

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $190.51 to $219.09 depending on state and rural status.

StateNon-ruralRural
AK$195.93
AL$192.31
AR$192.31
AZ$190.51
CA$190.51
CO$192.31
CT$192.31
DC$192.31
DE$192.31
FL$192.31
GA$192.31
HI$195.93
IA$190.51
ID$190.51
IL$192.31
IN$192.31
KS$190.51
KY$192.31
LA$192.31
MA$192.31
MD$192.31
ME$192.31
MI$192.31
MN$192.31
MO$192.31
MS$192.31
MT$190.51
NC$192.31
ND$190.51
NE$190.51
NH$192.31
NJ$192.31
NM$192.31
NV$190.51
NY$192.31
OH$192.31
OK$192.31
OR$190.51
PA$192.31
PR$219.09
RI$192.31
SC$192.31
SD$190.51
TN$192.31
TX$192.31
UT$192.31
VA$192.31
VI$197.73
VT$192.31
WA$192.31
WI$192.31
WV$192.31
WY$190.51

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $183.43 to $223.89 depending on state and rural status.

Former-CBA payment limits: ceiling $186.56 · floor $158.58

StateNon-ruralRural
AK$183.43
AL$186.56
AR$186.56
AZ$183.43
CA$183.43
CO$186.56
CT$186.56
DC$186.56
DE$186.56
FL$186.56
GA$186.56
HI$183.43
IA$183.43
ID$183.43
IL$186.56
IN$186.56
KS$183.43
KY$186.56
LA$186.56
MA$186.56
MD$186.56
ME$186.56
MI$186.56
MN$186.56
MO$186.56
MS$186.56
MT$183.43
NC$186.56
ND$183.43
NE$183.43
NH$186.56
NJ$186.56
NM$186.56
NV$183.43
NY$186.56
OH$186.56
OK$186.56
OR$183.43
PA$186.56
PR$223.89
RI$186.56
SC$186.56
SD$183.43
TN$186.56
TX$186.56
UT$186.56
VA$186.56
VI$186.56
VT$186.56
WA$186.56
WI$186.56
WV$186.56
WY$183.43

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $14.91 to $20.29 depending on state and rural status.

StateNon-ruralRural
AK$18.26
AL$15.01$17.88
AR$15.01$17.88
AZ$15.41$17.72
CA$14.91$17.72
CO$16.19$17.88
CT$16.61$17.88
DC$15.16$17.88
DE$15.16$17.88
FL$15.01$17.88
GA$15.01$17.88
HI$18.26
IA$15.24$17.72
ID$16.19$17.72
IL$16.43$17.88
IN$16.43$17.88
KS$15.24$17.72
KY$15.01$17.88
LA$15.01$17.88
MA$16.61$17.88
MD$15.16$17.88
ME$16.61$17.88
MI$16.43$17.88
MN$15.24$17.88
MO$15.24$17.88
MS$15.01$17.88
MT$16.19$17.72
NC$15.01$17.88
ND$15.24$17.72
NE$15.24$17.72
NH$16.61$17.88
NJ$15.16$17.88
NM$15.41$17.88
NV$14.91$17.72
NY$15.16$17.88
OH$16.43$17.88
OK$15.41$17.88
OR$14.91$17.72
PA$15.16$17.88
PR$20.29
RI$16.61$17.88
SC$15.01$17.88
SD$15.24$17.72
TN$15.01$17.88
TX$15.41$17.88
UT$16.19$17.88
VA$15.01$17.88
VI$18.42
VT$16.61$17.88
WA$14.91$17.88
WI$16.43$17.88
WV$15.01$17.88
WY$16.19$17.72

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $19.05 to $21.92 depending on state and rural status.

StateNon-ruralRural
AK$19.59
AL$19.23
AR$19.23
AZ$19.05
CA$19.05
CO$19.23
CT$19.23
DC$19.23
DE$19.23
FL$19.23
GA$19.23
HI$19.59
IA$19.05
ID$19.05
IL$19.23
IN$19.23
KS$19.05
KY$19.23
LA$19.23
MA$19.23
MD$19.23
ME$19.23
MI$19.23
MN$19.23
MO$19.23
MS$19.23
MT$19.05
NC$19.23
ND$19.05
NE$19.05
NH$19.23
NJ$19.23
NM$19.23
NV$19.05
NY$19.23
OH$19.23
OK$19.23
OR$19.05
PA$19.23
PR$21.92
RI$19.23
SC$19.23
SD$19.05
TN$19.23
TX$19.23
UT$19.23
VA$19.23
VI$19.77
VT$19.23
WA$19.23
WI$19.23
WV$19.23
WY$19.05

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $18.32 to $22.39 depending on state and rural status.

Former-CBA payment limits: ceiling $18.66 · floor $15.86

StateNon-ruralRural
AK$18.32
AL$18.66
AR$18.66
AZ$18.32
CA$18.32
CO$18.66
CT$18.66
DC$18.66
DE$18.66
FL$18.66
GA$18.66
HI$18.32
IA$18.32
ID$18.32
IL$18.66
IN$18.66
KS$18.32
KY$18.66
LA$18.66
MA$18.66
MD$18.66
ME$18.66
MI$18.66
MN$18.66
MO$18.66
MS$18.66
MT$18.32
NC$18.66
ND$18.32
NE$18.32
NH$18.66
NJ$18.66
NM$18.66
NV$18.32
NY$18.66
OH$18.66
OK$18.66
OR$18.32
PA$18.66
PR$22.39
RI$18.66
SC$18.66
SD$18.32
TN$18.66
TX$18.66
UT$18.66
VA$18.66
VI$18.66
VT$18.66
WA$18.66
WI$18.66
WV$18.66
WY$18.32

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $111.80 to $152.14 depending on state and rural status.

StateNon-ruralRural
AK$136.99
AL$112.55$134.08
AR$112.55$134.08
AZ$115.57$132.93
CA$111.80$132.93
CO$121.44$134.08
CT$124.58$134.08
DC$113.69$134.08
DE$113.69$134.08
FL$112.55$134.08
GA$112.55$134.08
HI$136.99
IA$114.31$132.93
ID$121.44$132.93
IL$123.22$134.08
IN$123.22$134.08
KS$114.31$132.93
KY$112.55$134.08
LA$112.55$134.08
MA$124.58$134.08
MD$113.69$134.08
ME$124.58$134.08
MI$123.22$134.08
MN$114.31$134.08
MO$114.31$134.08
MS$112.55$134.08
MT$121.44$132.93
NC$112.55$134.08
ND$114.31$132.93
NE$114.31$132.93
NH$124.58$134.08
NJ$113.69$134.08
NM$115.57$134.08
NV$111.80$132.93
NY$113.69$134.08
OH$123.22$134.08
OK$115.57$134.08
OR$111.80$132.93
PA$113.69$134.08
PR$152.14
RI$124.58$134.08
SC$112.55$134.08
SD$114.31$132.93
TN$112.55$134.08
TX$115.57$134.08
UT$121.44$134.08
VA$112.55$134.08
VI$138.15
VT$124.58$134.08
WA$111.80$134.08
WI$123.22$134.08
WV$112.55$134.08
WY$121.44$132.93

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $142.90 to $164.31 depending on state and rural status.

StateNon-ruralRural
AK$146.97
AL$144.23
AR$144.23
AZ$142.90
CA$142.90
CO$144.23
CT$144.23
DC$144.23
DE$144.23
FL$144.23
GA$144.23
HI$146.97
IA$142.90
ID$142.90
IL$144.23
IN$144.23
KS$142.90
KY$144.23
LA$144.23
MA$144.23
MD$144.23
ME$144.23
MI$144.23
MN$144.23
MO$144.23
MS$144.23
MT$142.90
NC$144.23
ND$142.90
NE$142.90
NH$144.23
NJ$144.23
NM$144.23
NV$142.90
NY$144.23
OH$144.23
OK$144.23
OR$142.90
PA$144.23
PR$164.31
RI$144.23
SC$144.23
SD$142.90
TN$144.23
TX$144.23
UT$144.23
VA$144.23
VI$148.29
VT$144.23
WA$144.23
WI$144.23
WV$144.23
WY$142.90

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $137.60 to $167.89 depending on state and rural status.

Former-CBA payment limits: ceiling $139.90 · floor $118.92

StateNon-ruralRural
AK$137.60
AL$139.90
AR$139.90
AZ$137.60
CA$137.60
CO$139.90
CT$139.90
DC$139.90
DE$139.90
FL$139.90
GA$139.90
HI$137.60
IA$137.60
ID$137.60
IL$139.90
IN$139.90
KS$137.60
KY$139.90
LA$139.90
MA$139.90
MD$139.90
ME$139.90
MI$139.90
MN$139.90
MO$139.90
MS$139.90
MT$137.60
NC$139.90
ND$137.60
NE$137.60
NH$139.90
NJ$139.90
NM$139.90
NV$137.60
NY$139.90
OH$139.90
OK$139.90
OR$137.60
PA$139.90
PR$167.89
RI$139.90
SC$139.90
SD$137.60
TN$139.90
TX$139.90
UT$139.90
VA$139.90
VI$139.90
VT$139.90
WA$139.90
WI$139.90
WV$139.90
WY$137.60
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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