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E2385 — Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Tube, pneumatic caster 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.

E2385 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $54.69 to $69.42 depending on state and rural status.

StateNon-ruralRural
AK$57.24
AL$54.69$57.75
AR$54.69$57.75
AZ$54.69$57.24
CA$54.69$57.24
CO$54.69$57.75
CT$54.69$57.75
DC$54.69$57.75
DE$54.69$57.75
FL$54.69$57.75
GA$54.69$57.75
HI$69.42
IA$54.69$57.24
ID$54.69$57.24
IL$54.69$57.75
IN$54.69$57.75
KS$54.69$57.24
KY$54.69$57.75
LA$54.69$57.75
MA$54.69$57.75
MD$54.69$57.75
ME$54.69$57.75
MI$54.69$57.75
MN$54.69$57.75
MO$54.69$57.75
MS$54.69$57.75
MT$54.69$57.24
NC$54.69$57.75
ND$54.69$57.24
NE$54.69$57.24
NH$54.69$57.75
NJ$54.69$57.75
NM$54.69$57.75
NV$54.69$57.24
NY$54.69$57.75
OH$54.69$57.75
OK$54.69$57.75
OR$54.69$57.24
PA$54.69$57.75
PR$63.81
RI$54.69$57.75
SC$54.69$57.75
SD$54.69$57.24
TN$54.69$57.75
TX$54.69$57.75
UT$54.69$57.75
VA$54.69$57.75
VI$57.75
VT$54.69$57.75
WA$54.69$57.75
WI$54.69$57.75
WV$54.69$57.75
WY$54.69$57.24

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $61.58 to $75.52 depending on state and rural status.

StateNon-ruralRural
AK$61.58
AL$62.16
AR$62.16
AZ$61.58
CA$61.58
CO$62.16
CT$62.16
DC$62.16
DE$62.16
FL$62.16
GA$62.16
HI$75.52
IA$61.58
ID$61.58
IL$62.16
IN$62.16
KS$61.58
KY$62.16
LA$62.16
MA$62.16
MD$62.16
ME$62.16
MI$62.16
MN$62.16
MO$62.16
MS$62.16
MT$61.58
NC$62.16
ND$61.58
NE$61.58
NH$62.16
NJ$62.16
NM$62.16
NV$61.58
NY$62.16
OH$62.16
OK$62.16
OR$61.58
PA$62.16
PR$69.09
RI$62.16
SC$62.16
SD$61.58
TN$62.16
TX$62.16
UT$62.16
VA$62.16
VI$62.16
VT$62.16
WA$62.16
WI$62.16
WV$62.16
WY$61.58

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $59.77 to $84.14 depending on state and rural status.

Former-CBA payment limits: ceiling $60.79 · floor $51.67

StateNon-ruralRural
AK$59.77
AL$60.79
AR$60.79
AZ$59.77
CA$59.77
CO$60.79
CT$60.79
DC$60.79
DE$60.79
FL$60.79
GA$60.79
HI$84.14
IA$59.77
ID$59.77
IL$60.79
IN$60.79
KS$59.77
KY$60.79
LA$60.79
MA$60.79
MD$60.79
ME$60.79
MI$60.79
MN$60.79
MO$60.79
MS$60.79
MT$59.77
NC$60.79
ND$59.77
NE$59.77
NH$60.79
NJ$60.79
NM$60.79
NV$59.77
NY$60.79
OH$60.79
OK$60.79
OR$59.77
PA$60.79
PR$72.93
RI$60.79
SC$60.79
SD$59.77
TN$60.79
TX$60.79
UT$60.79
VA$60.79
VI$60.79
VT$60.79
WA$60.79
WI$60.79
WV$60.79
WY$59.77

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.47 to $6.38 depending on state and rural status.

StateNon-ruralRural
AK$5.73
AL$5.47$5.79
AR$5.47$5.79
AZ$5.47$5.73
CA$5.47$5.73
CO$5.47$5.79
CT$5.47$5.79
DC$5.47$5.79
DE$5.47$5.79
FL$5.47$5.79
GA$5.47$5.79
HI$5.73
IA$5.47$5.73
ID$5.47$5.73
IL$5.47$5.79
IN$5.47$5.79
KS$5.47$5.73
KY$5.47$5.79
LA$5.47$5.79
MA$5.47$5.79
MD$5.47$5.79
ME$5.47$5.79
MI$5.47$5.79
MN$5.47$5.79
MO$5.47$5.79
MS$5.47$5.79
MT$5.47$5.73
NC$5.47$5.79
ND$5.47$5.73
NE$5.47$5.73
NH$5.47$5.79
NJ$5.47$5.79
NM$5.47$5.79
NV$5.47$5.73
NY$5.47$5.79
OH$5.47$5.79
OK$5.47$5.79
OR$5.47$5.73
PA$5.47$5.79
PR$6.38
RI$5.47$5.79
SC$5.47$5.79
SD$5.47$5.73
TN$5.47$5.79
TX$5.47$5.79
UT$5.47$5.79
VA$5.47$5.79
VI$5.79
VT$5.47$5.79
WA$5.47$5.79
WI$5.47$5.79
WV$5.47$5.79
WY$5.47$5.73

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.16 to $6.90 depending on state and rural status.

StateNon-ruralRural
AK$6.16
AL$6.23
AR$6.23
AZ$6.16
CA$6.16
CO$6.23
CT$6.23
DC$6.23
DE$6.23
FL$6.23
GA$6.23
HI$6.16
IA$6.16
ID$6.16
IL$6.23
IN$6.23
KS$6.16
KY$6.23
LA$6.23
MA$6.23
MD$6.23
ME$6.23
MI$6.23
MN$6.23
MO$6.23
MS$6.23
MT$6.16
NC$6.23
ND$6.16
NE$6.16
NH$6.23
NJ$6.23
NM$6.23
NV$6.16
NY$6.23
OH$6.23
OK$6.23
OR$6.16
PA$6.23
PR$6.90
RI$6.23
SC$6.23
SD$6.16
TN$6.23
TX$6.23
UT$6.23
VA$6.23
VI$6.23
VT$6.23
WA$6.23
WI$6.23
WV$6.23
WY$6.16

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.99 to $7.27 depending on state and rural status.

Former-CBA payment limits: ceiling $6.10 · floor $5.19

StateNon-ruralRural
AK$5.99
AL$6.10
AR$6.10
AZ$5.99
CA$5.99
CO$6.10
CT$6.10
DC$6.10
DE$6.10
FL$6.10
GA$6.10
HI$5.99
IA$5.99
ID$5.99
IL$6.10
IN$6.10
KS$5.99
KY$6.10
LA$6.10
MA$6.10
MD$6.10
ME$6.10
MI$6.10
MN$6.10
MO$6.10
MS$6.10
MT$5.99
NC$6.10
ND$5.99
NE$5.99
NH$6.10
NJ$6.10
NM$6.10
NV$5.99
NY$6.10
OH$6.10
OK$6.10
OR$5.99
PA$6.10
PR$7.27
RI$6.10
SC$6.10
SD$5.99
TN$6.10
TX$6.10
UT$6.10
VA$6.10
VI$6.10
VT$6.10
WA$6.10
WI$6.10
WV$6.10
WY$5.99

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $41.02 to $47.87 depending on state and rural status.

StateNon-ruralRural
AK$42.93
AL$41.02$43.30
AR$41.02$43.30
AZ$41.02$42.93
CA$41.02$42.93
CO$41.02$43.30
CT$41.02$43.30
DC$41.02$43.30
DE$41.02$43.30
FL$41.02$43.30
GA$41.02$43.30
HI$42.93
IA$41.02$42.93
ID$41.02$42.93
IL$41.02$43.30
IN$41.02$43.30
KS$41.02$42.93
KY$41.02$43.30
LA$41.02$43.30
MA$41.02$43.30
MD$41.02$43.30
ME$41.02$43.30
MI$41.02$43.30
MN$41.02$43.30
MO$41.02$43.30
MS$41.02$43.30
MT$41.02$42.93
NC$41.02$43.30
ND$41.02$42.93
NE$41.02$42.93
NH$41.02$43.30
NJ$41.02$43.30
NM$41.02$43.30
NV$41.02$42.93
NY$41.02$43.30
OH$41.02$43.30
OK$41.02$43.30
OR$41.02$42.93
PA$41.02$43.30
PR$47.87
RI$41.02$43.30
SC$41.02$43.30
SD$41.02$42.93
TN$41.02$43.30
TX$41.02$43.30
UT$41.02$43.30
VA$41.02$43.30
VI$43.30
VT$41.02$43.30
WA$41.02$43.30
WI$41.02$43.30
WV$41.02$43.30
WY$41.02$42.93

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $46.18 to $51.84 depending on state and rural status.

StateNon-ruralRural
AK$46.18
AL$46.61
AR$46.61
AZ$46.18
CA$46.18
CO$46.61
CT$46.61
DC$46.61
DE$46.61
FL$46.61
GA$46.61
HI$46.18
IA$46.18
ID$46.18
IL$46.61
IN$46.61
KS$46.18
KY$46.61
LA$46.61
MA$46.61
MD$46.61
ME$46.61
MI$46.61
MN$46.61
MO$46.61
MS$46.61
MT$46.18
NC$46.61
ND$46.18
NE$46.18
NH$46.61
NJ$46.61
NM$46.61
NV$46.18
NY$46.61
OH$46.61
OK$46.61
OR$46.18
PA$46.61
PR$51.84
RI$46.61
SC$46.61
SD$46.18
TN$46.61
TX$46.61
UT$46.61
VA$46.61
VI$46.61
VT$46.61
WA$46.61
WI$46.61
WV$46.61
WY$46.18

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.84 to $54.73 depending on state and rural status.

Former-CBA payment limits: ceiling $45.58 · floor $38.74

StateNon-ruralRural
AK$44.84
AL$45.58
AR$45.58
AZ$44.84
CA$44.84
CO$45.58
CT$45.58
DC$45.58
DE$45.58
FL$45.58
GA$45.58
HI$44.84
IA$44.84
ID$44.84
IL$45.58
IN$45.58
KS$44.84
KY$45.58
LA$45.58
MA$45.58
MD$45.58
ME$45.58
MI$45.58
MN$45.58
MO$45.58
MS$45.58
MT$44.84
NC$45.58
ND$44.84
NE$44.84
NH$45.58
NJ$45.58
NM$45.58
NV$44.84
NY$45.58
OH$45.58
OK$45.58
OR$44.84
PA$45.58
PR$54.73
RI$45.58
SC$45.58
SD$44.84
TN$45.58
TX$45.58
UT$45.58
VA$45.58
VI$45.58
VT$45.58
WA$45.58
WI$45.58
WV$45.58
WY$44.84
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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