E2387 — Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
HCPCS Level II E-code · short descriptor: “Foam filled 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.
E2387 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $55.22 to $86.91 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $78.27 | — |
| AL | $61.67 | $74.35 |
| AR | $61.67 | $74.35 |
| AZ | $58.41 | $72.12 |
| CA | $57.83 | $72.12 |
| CO | $62.88 | $74.35 |
| CT | $55.62 | $74.35 |
| DC | $55.22 | $72.78 |
| DE | $55.22 | $74.35 |
| FL | $61.67 | $72.78 |
| GA | $61.67 | $74.35 |
| HI | $78.27 | — |
| IA | $59.83 | $72.12 |
| ID | $62.88 | $72.12 |
| IL | $65.64 | $72.78 |
| IN | $65.64 | $74.35 |
| KS | $59.83 | $72.12 |
| KY | $61.67 | $74.35 |
| LA | $61.67 | $74.35 |
| MA | $55.62 | $74.35 |
| MD | $55.22 | $72.78 |
| ME | $55.62 | $74.35 |
| MI | $65.64 | $74.35 |
| MN | $59.83 | $74.35 |
| MO | $59.83 | $73.76 |
| MS | $61.67 | $74.35 |
| MT | $62.88 | $72.12 |
| NC | $61.67 | $73.98 |
| ND | $59.83 | $72.12 |
| NE | $59.83 | $72.12 |
| NH | $55.62 | $74.35 |
| NJ | $55.22 | $74.35 |
| NM | $58.41 | $74.35 |
| NV | $57.83 | $72.12 |
| NY | $55.22 | $74.35 |
| OH | $65.64 | $72.78 |
| OK | $58.41 | $74.35 |
| OR | $57.83 | $72.12 |
| PA | $55.22 | $74.35 |
| PR | $86.91 | — |
| RI | $55.62 | $74.35 |
| SC | $61.67 | $74.35 |
| SD | $59.83 | $72.12 |
| TN | $61.67 | $74.35 |
| TX | $58.41 | $72.78 |
| UT | $62.88 | $74.34 |
| VA | $61.67 | $72.78 |
| VI | $80.50 | — |
| VT | $55.62 | $74.35 |
| WA | $57.83 | $74.35 |
| WI | $65.64 | $74.35 |
| WV | $61.67 | $72.78 |
| WY | $62.88 | $72.12 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $77.80 to $93.85 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.96 | — |
| AL | — | $80.36 |
| AR | — | $80.36 |
| AZ | — | $77.80 |
| CA | — | $77.80 |
| CO | — | $80.36 |
| CT | — | $80.36 |
| DC | — | $78.57 |
| DE | — | $80.36 |
| FL | — | $78.57 |
| GA | — | $80.36 |
| HI | $83.96 | — |
| IA | — | $77.80 |
| ID | — | $77.80 |
| IL | — | $78.57 |
| IN | — | $80.36 |
| KS | — | $77.80 |
| KY | — | $80.36 |
| LA | — | $80.36 |
| MA | — | $80.36 |
| MD | — | $78.57 |
| ME | — | $80.36 |
| MI | — | $80.36 |
| MN | — | $80.36 |
| MO | — | $79.68 |
| MS | — | $80.36 |
| MT | — | $77.80 |
| NC | — | $79.93 |
| ND | — | $77.80 |
| NE | — | $77.80 |
| NH | — | $80.36 |
| NJ | — | $80.36 |
| NM | — | $80.36 |
| NV | — | $77.80 |
| NY | — | $80.36 |
| OH | — | $78.57 |
| OK | — | $80.36 |
| OR | — | $77.80 |
| PA | — | $80.36 |
| PR | $93.85 | — |
| RI | — | $80.36 |
| SC | — | $80.36 |
| SD | — | $77.80 |
| TN | — | $80.36 |
| TX | — | $78.57 |
| UT | — | $80.35 |
| VA | — | $78.57 |
| VI | $86.51 | — |
| VT | — | $80.36 |
| WA | — | $80.36 |
| WI | — | $80.36 |
| WV | — | $78.57 |
| WY | — | $77.80 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $78.43 to $95.72 depending on state and rural status.
Former-CBA payment limits: ceiling $82.89 · floor $70.46
| State | Non-rural | Rural |
|---|---|---|
| AK | $78.43 | — |
| AL | $82.89 | — |
| AR | $82.89 | — |
| AZ | $78.43 | — |
| CA | $78.43 | — |
| CO | $82.89 | — |
| CT | $82.89 | — |
| DC | $79.76 | — |
| DE | $82.89 | — |
| FL | $79.76 | — |
| GA | $82.89 | — |
| HI | $78.43 | — |
| IA | $78.43 | — |
| ID | $78.43 | — |
| IL | $79.76 | — |
| IN | $82.89 | — |
| KS | $78.43 | — |
| KY | $82.89 | — |
| LA | $82.89 | — |
| MA | $82.89 | — |
| MD | $79.76 | — |
| ME | $82.89 | — |
| MI | $82.89 | — |
| MN | $82.89 | — |
| MO | $81.69 | — |
| MS | $82.89 | — |
| MT | $78.43 | — |
| NC | $82.15 | — |
| ND | $78.43 | — |
| NE | $78.43 | — |
| NH | $82.89 | — |
| NJ | $82.89 | — |
| NM | $82.89 | — |
| NV | $78.43 | — |
| NY | $82.89 | — |
| OH | $79.76 | — |
| OK | $82.89 | — |
| OR | $78.43 | — |
| PA | $82.89 | — |
| PR | $95.72 | — |
| RI | $82.89 | — |
| SC | $82.89 | — |
| SD | $78.43 | — |
| TN | $82.89 | — |
| TX | $79.76 | — |
| UT | $82.88 | — |
| VA | $79.76 | — |
| VI | $82.89 | — |
| VT | $82.89 | — |
| WA | $82.89 | — |
| WI | $82.89 | — |
| WV | $79.76 | — |
| WY | $78.43 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.52 to $8.68 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $7.82 | — |
| AL | $6.17 | $7.44 |
| AR | $6.17 | $7.44 |
| AZ | $5.84 | $7.20 |
| CA | $5.78 | $7.20 |
| CO | $6.29 | $7.44 |
| CT | $5.56 | $7.44 |
| DC | $5.52 | $7.28 |
| DE | $5.52 | $7.44 |
| FL | $6.17 | $7.28 |
| GA | $6.17 | $7.44 |
| HI | $7.82 | — |
| IA | $5.98 | $7.20 |
| ID | $6.29 | $7.20 |
| IL | $6.57 | $7.28 |
| IN | $6.57 | $7.44 |
| KS | $5.98 | $7.20 |
| KY | $6.17 | $7.44 |
| LA | $6.17 | $7.44 |
| MA | $5.56 | $7.44 |
| MD | $5.52 | $7.28 |
| ME | $5.56 | $7.44 |
| MI | $6.57 | $7.44 |
| MN | $5.98 | $7.44 |
| MO | $5.98 | $7.37 |
| MS | $6.17 | $7.44 |
| MT | $6.29 | $7.20 |
| NC | $6.17 | $7.39 |
| ND | $5.98 | $7.20 |
| NE | $5.98 | $7.20 |
| NH | $5.56 | $7.44 |
| NJ | $5.52 | $7.44 |
| NM | $5.84 | $7.44 |
| NV | $5.78 | $7.20 |
| NY | $5.52 | $7.44 |
| OH | $6.57 | $7.28 |
| OK | $5.84 | $7.44 |
| OR | $5.78 | $7.20 |
| PA | $5.52 | $7.44 |
| PR | $8.68 | — |
| RI | $5.56 | $7.44 |
| SC | $6.17 | $7.44 |
| SD | $5.98 | $7.20 |
| TN | $6.17 | $7.44 |
| TX | $5.84 | $7.28 |
| UT | $6.29 | $7.43 |
| VA | $6.17 | $7.28 |
| VI | $8.05 | — |
| VT | $5.56 | $7.44 |
| WA | $5.78 | $7.44 |
| WI | $6.57 | $7.44 |
| WV | $6.17 | $7.28 |
| WY | $6.29 | $7.20 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.77 to $9.37 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.38 | — |
| AL | — | $8.04 |
| AR | — | $8.04 |
| AZ | — | $7.77 |
| CA | — | $7.77 |
| CO | — | $8.04 |
| CT | — | $8.04 |
| DC | — | $7.86 |
| DE | — | $8.04 |
| FL | — | $7.86 |
| GA | — | $8.04 |
| HI | $8.38 | — |
| IA | — | $7.77 |
| ID | — | $7.77 |
| IL | — | $7.86 |
| IN | — | $8.04 |
| KS | — | $7.77 |
| KY | — | $8.04 |
| LA | — | $8.04 |
| MA | — | $8.04 |
| MD | — | $7.86 |
| ME | — | $8.04 |
| MI | — | $8.04 |
| MN | — | $8.04 |
| MO | — | $7.96 |
| MS | — | $8.04 |
| MT | — | $7.77 |
| NC | — | $7.98 |
| ND | — | $7.77 |
| NE | — | $7.77 |
| NH | — | $8.04 |
| NJ | — | $8.04 |
| NM | — | $8.04 |
| NV | — | $7.77 |
| NY | — | $8.04 |
| OH | — | $7.86 |
| OK | — | $8.04 |
| OR | — | $7.77 |
| PA | — | $8.04 |
| PR | $9.37 | — |
| RI | — | $8.04 |
| SC | — | $8.04 |
| SD | — | $7.77 |
| TN | — | $8.04 |
| TX | — | $7.86 |
| UT | — | $8.03 |
| VA | — | $7.86 |
| VI | $8.65 | — |
| VT | — | $8.04 |
| WA | — | $8.04 |
| WI | — | $8.04 |
| WV | — | $7.86 |
| WY | — | $7.77 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.82 to $9.54 depending on state and rural status.
Former-CBA payment limits: ceiling $8.29 · floor $7.05
| State | Non-rural | Rural |
|---|---|---|
| AK | $7.82 | — |
| AL | $8.29 | — |
| AR | $8.29 | — |
| AZ | $7.82 | — |
| CA | $7.82 | — |
| CO | $8.29 | — |
| CT | $8.29 | — |
| DC | $7.99 | — |
| DE | $8.29 | — |
| FL | $7.99 | — |
| GA | $8.29 | — |
| HI | $7.82 | — |
| IA | $7.82 | — |
| ID | $7.82 | — |
| IL | $7.99 | — |
| IN | $8.29 | — |
| KS | $7.82 | — |
| KY | $8.29 | — |
| LA | $8.29 | — |
| MA | $8.29 | — |
| MD | $7.99 | — |
| ME | $8.29 | — |
| MI | $8.29 | — |
| MN | $8.29 | — |
| MO | $8.15 | — |
| MS | $8.29 | — |
| MT | $7.82 | — |
| NC | $8.18 | — |
| ND | $7.82 | — |
| NE | $7.82 | — |
| NH | $8.29 | — |
| NJ | $8.29 | — |
| NM | $8.29 | — |
| NV | $7.82 | — |
| NY | $8.29 | — |
| OH | $7.99 | — |
| OK | $8.29 | — |
| OR | $7.82 | — |
| PA | $8.29 | — |
| PR | $9.54 | — |
| RI | $8.29 | — |
| SC | $8.29 | — |
| SD | $7.82 | — |
| TN | $8.29 | — |
| TX | $7.99 | — |
| UT | $8.26 | — |
| VA | $7.99 | — |
| VI | $8.29 | — |
| VT | $8.29 | — |
| WA | $8.29 | — |
| WI | $8.29 | — |
| WV | $7.99 | — |
| WY | $7.82 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $41.41 to $65.19 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $58.70 | — |
| AL | $46.25 | $55.79 |
| AR | $46.25 | $55.79 |
| AZ | $43.81 | $54.08 |
| CA | $43.38 | $54.08 |
| CO | $47.16 | $55.79 |
| CT | $41.72 | $55.79 |
| DC | $41.41 | $54.59 |
| DE | $41.41 | $55.79 |
| FL | $46.25 | $54.59 |
| GA | $46.25 | $55.79 |
| HI | $58.70 | — |
| IA | $44.88 | $54.08 |
| ID | $47.16 | $54.08 |
| IL | $49.23 | $54.59 |
| IN | $49.23 | $55.79 |
| KS | $44.88 | $54.08 |
| KY | $46.25 | $55.79 |
| LA | $46.25 | $55.79 |
| MA | $41.72 | $55.79 |
| MD | $41.41 | $54.59 |
| ME | $41.72 | $55.79 |
| MI | $49.23 | $55.79 |
| MN | $44.88 | $55.79 |
| MO | $44.88 | $55.33 |
| MS | $46.25 | $55.79 |
| MT | $47.16 | $54.08 |
| NC | $46.25 | $55.48 |
| ND | $44.88 | $54.08 |
| NE | $44.88 | $54.08 |
| NH | $41.72 | $55.79 |
| NJ | $41.41 | $55.79 |
| NM | $43.81 | $55.79 |
| NV | $43.38 | $54.08 |
| NY | $41.41 | $55.79 |
| OH | $49.23 | $54.59 |
| OK | $43.81 | $55.79 |
| OR | $43.38 | $54.08 |
| PA | $41.41 | $55.79 |
| PR | $65.19 | — |
| RI | $41.72 | $55.79 |
| SC | $46.25 | $55.79 |
| SD | $44.88 | $54.08 |
| TN | $46.25 | $55.79 |
| TX | $43.81 | $54.59 |
| UT | $47.16 | $55.79 |
| VA | $46.25 | $54.59 |
| VI | $60.40 | — |
| VT | $41.72 | $55.79 |
| WA | $43.38 | $55.79 |
| WI | $49.23 | $55.79 |
| WV | $46.25 | $54.59 |
| WY | $47.16 | $54.08 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $58.34 to $70.40 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $62.96 | — |
| AL | — | $60.30 |
| AR | — | $60.30 |
| AZ | — | $58.34 |
| CA | — | $58.34 |
| CO | — | $60.30 |
| CT | — | $60.30 |
| DC | — | $58.93 |
| DE | — | $60.30 |
| FL | — | $58.93 |
| GA | — | $60.30 |
| HI | $62.96 | — |
| IA | — | $58.34 |
| ID | — | $58.34 |
| IL | — | $58.93 |
| IN | — | $60.30 |
| KS | — | $58.34 |
| KY | — | $60.30 |
| LA | — | $60.30 |
| MA | — | $60.30 |
| MD | — | $58.93 |
| ME | — | $60.30 |
| MI | — | $60.30 |
| MN | — | $60.30 |
| MO | — | $59.77 |
| MS | — | $60.30 |
| MT | — | $58.34 |
| NC | — | $59.95 |
| ND | — | $58.34 |
| NE | — | $58.34 |
| NH | — | $60.30 |
| NJ | — | $60.30 |
| NM | — | $60.30 |
| NV | — | $58.34 |
| NY | — | $60.30 |
| OH | — | $58.93 |
| OK | — | $60.30 |
| OR | — | $58.34 |
| PA | — | $60.30 |
| PR | $70.40 | — |
| RI | — | $60.30 |
| SC | — | $60.30 |
| SD | — | $58.34 |
| TN | — | $60.30 |
| TX | — | $58.93 |
| UT | — | $60.30 |
| VA | — | $58.93 |
| VI | $64.91 | — |
| VT | — | $60.30 |
| WA | — | $60.30 |
| WI | — | $60.30 |
| WV | — | $58.93 |
| WY | — | $58.34 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $58.82 to $71.80 depending on state and rural status.
Former-CBA payment limits: ceiling $62.22 · floor $52.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $58.82 | — |
| AL | $62.22 | — |
| AR | $62.22 | — |
| AZ | $58.82 | — |
| CA | $58.82 | — |
| CO | $62.22 | — |
| CT | $62.22 | — |
| DC | $59.81 | — |
| DE | $62.22 | — |
| FL | $59.81 | — |
| GA | $62.22 | — |
| HI | $58.82 | — |
| IA | $58.82 | — |
| ID | $58.82 | — |
| IL | $59.81 | — |
| IN | $62.22 | — |
| KS | $58.82 | — |
| KY | $62.22 | — |
| LA | $62.22 | — |
| MA | $62.22 | — |
| MD | $59.81 | — |
| ME | $62.22 | — |
| MI | $62.22 | — |
| MN | $62.22 | — |
| MO | $61.30 | — |
| MS | $62.22 | — |
| MT | $58.82 | — |
| NC | $61.61 | — |
| ND | $58.82 | — |
| NE | $58.82 | — |
| NH | $62.22 | — |
| NJ | $62.22 | — |
| NM | $62.22 | — |
| NV | $58.82 | — |
| NY | $62.22 | — |
| OH | $59.81 | — |
| OK | $62.22 | — |
| OR | $58.82 | — |
| PA | $62.22 | — |
| PR | $71.80 | — |
| RI | $62.22 | — |
| SC | $62.22 | — |
| SD | $58.82 | — |
| TN | $62.22 | — |
| TX | $59.81 | — |
| UT | $62.22 | — |
| VA | $59.81 | — |
| VI | $62.22 | — |
| VT | $62.22 | — |
| WA | $62.22 | — |
| WI | $62.22 | — |
| WV | $59.81 | — |
| WY | $58.82 | — |
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.
Common denial codes to watch
Related E-codes
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