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E2396 — Power wheelchair accessory, caster fork, any size, replacement only, each

HCPCS Level II E-code · short descriptor: “Caster fork”

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.

E2396 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $61.00 to $139.04 depending on state and rural status.

StateNon-ruralRural
AK$132.31
AL$64.29$75.90
AR$64.29$75.90
AZ$61.13$75.90
CA$61.71$75.90
CO$64.64$69.44
CT$69.79$75.90
DC$61.00$75.90
DE$61.00$75.90
FL$64.29$69.44
GA$64.29$75.90
HI$139.04
IA$62.13$75.90
ID$64.64$74.13
IL$63.58$75.90
IN$63.58$75.90
KS$62.13$75.90
KY$64.29$69.44
LA$64.29$75.90
MA$69.79$74.41
MD$61.00$69.44
ME$69.79$74.41
MI$63.58$69.44
MN$62.13$74.02
MO$62.13$75.90
MS$64.29$75.90
MT$64.64$69.44
NC$64.29$75.90
ND$62.13$70.41
NE$62.13$75.90
NH$69.79$74.41
NJ$61.00$75.90
NM$61.13$69.44
NV$61.71$69.44
NY$61.00$70.34
OH$63.58$69.44
OK$61.13$75.90
OR$61.71$75.90
PA$61.00$69.44
PR$89.89
RI$69.79$75.90
SC$64.29$74.35
SD$62.13$70.41
TN$64.29$75.90
TX$61.13$69.44
UT$64.64$75.90
VA$64.29$71.65
VI$70.34
VT$69.79$74.41
WA$61.71$75.90
WI$63.58$75.90
WV$64.29$72.98
WY$64.64$70.41

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $74.81 to $154.12 depending on state and rural status.

StateNon-ruralRural
AK$146.42
AL$81.83
AR$81.83
AZ$81.83
CA$81.83
CO$74.81
CT$81.83
DC$81.83
DE$81.83
FL$74.81
GA$81.83
HI$154.12
IA$81.83
ID$79.80
IL$81.83
IN$81.83
KS$81.83
KY$74.81
LA$81.83
MA$80.11
MD$74.81
ME$80.11
MI$74.81
MN$79.66
MO$81.83
MS$81.83
MT$74.81
NC$81.83
ND$75.54
NE$81.83
NH$80.11
NJ$81.83
NM$74.81
NV$74.81
NY$75.45
OH$74.81
OK$81.83
OR$81.83
PA$74.81
PR$97.84
RI$81.83
SC$80.05
SD$75.54
TN$81.83
TX$74.81
UT$81.83
VA$76.95
VI$75.45
VT$80.11
WA$81.83
WI$81.83
WV$78.48
WY$75.54

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $69.42 to $207.97 depending on state and rural status.

Former-CBA payment limits: ceiling $81.67 · floor $69.42

StateNon-ruralRural
AK$194.50
AL$81.67
AR$81.67
AZ$81.67
CA$81.67
CO$69.42
CT$81.67
DC$81.67
DE$81.67
FL$69.42
GA$81.67
HI$207.97
IA$81.67
ID$78.16
IL$81.67
IN$81.67
KS$81.67
KY$69.42
LA$81.67
MA$78.70
MD$69.42
ME$78.70
MI$69.42
MN$77.93
MO$81.67
MS$81.67
MT$69.42
NC$81.67
ND$70.71
NE$81.67
NH$78.70
NJ$81.67
NM$69.42
NV$69.42
NY$70.55
OH$69.42
OK$81.67
OR$81.67
PA$69.42
PR$109.67
RI$81.67
SC$78.60
SD$70.71
TN$81.67
TX$69.42
UT$81.67
VA$73.19
VI$70.55
VT$78.70
WA$81.67
WI$81.67
WV$75.83
WY$70.71

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.10 to $13.91 depending on state and rural status.

StateNon-ruralRural
AK$13.24
AL$6.43$7.88
AR$6.43$7.58
AZ$6.11$7.88
CA$6.17$7.88
CO$6.46$7.22
CT$6.98$7.88
DC$6.10$7.88
DE$6.10$7.88
FL$6.43$7.22
GA$6.43$7.84
HI$13.91
IA$6.21$7.88
ID$6.46$7.42
IL$6.36$7.88
IN$6.36$7.88
KS$6.21$7.88
KY$6.43$7.22
LA$6.43$7.71
MA$6.98$7.88
MD$6.10$7.22
ME$6.98$7.88
MI$6.36$7.22
MN$6.21$7.40
MO$6.21$7.88
MS$6.43$7.88
MT$6.46$7.22
NC$6.43$7.88
ND$6.21$7.22
NE$6.21$7.88
NH$6.98$7.88
NJ$6.10$7.88
NM$6.11$7.22
NV$6.17$7.88
NY$6.10$7.22
OH$6.36$7.22
OK$6.11$7.88
OR$6.17$7.88
PA$6.10$7.22
PR$10.36
RI$6.98$7.88
SC$6.43$7.43
SD$6.21$7.22
TN$6.43$7.88
TX$6.11$7.22
UT$6.46$7.88
VA$6.43$7.22
VI$7.22
VT$6.98$7.88
WA$6.17$7.88
WI$6.36$7.88
WV$6.43$7.31
WY$6.46$7.22

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $7.76 to $15.41 depending on state and rural status.

StateNon-ruralRural
AK$14.65
AL$8.51
AR$8.17
AZ$8.51
CA$8.51
CO$7.76
CT$8.51
DC$8.51
DE$8.51
FL$7.76
GA$8.47
HI$15.41
IA$8.51
ID$7.98
IL$8.51
IN$8.51
KS$8.51
KY$7.76
LA$8.32
MA$8.51
MD$7.76
ME$8.51
MI$7.76
MN$7.96
MO$8.51
MS$8.51
MT$7.76
NC$8.51
ND$7.76
NE$8.51
NH$8.51
NJ$8.51
NM$7.76
NV$8.51
NY$7.76
OH$7.76
OK$8.51
OR$8.51
PA$7.76
PR$11.36
RI$8.51
SC$8.00
SD$7.76
TN$8.51
TX$7.76
UT$8.51
VA$7.76
VI$7.76
VT$8.51
WA$8.51
WI$8.51
WV$7.86
WY$7.76

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $7.42 to $20.80 depending on state and rural status.

Former-CBA payment limits: ceiling $8.73 · floor $7.42

StateNon-ruralRural
AK$19.46
AL$8.73
AR$8.15
AZ$8.73
CA$8.73
CO$7.42
CT$8.73
DC$8.73
DE$8.73
FL$7.42
GA$8.66
HI$20.80
IA$8.73
ID$7.82
IL$8.73
IN$8.73
KS$8.73
KY$7.42
LA$8.39
MA$8.73
MD$7.42
ME$8.73
MI$7.42
MN$7.78
MO$8.73
MS$8.73
MT$7.42
NC$8.73
ND$7.42
NE$8.73
NH$8.73
NJ$8.73
NM$7.42
NV$8.73
NY$7.42
OH$7.42
OK$8.73
OR$8.73
PA$7.42
PR$13.70
RI$8.73
SC$7.85
SD$7.42
TN$8.73
TX$7.42
UT$8.73
VA$7.42
VI$7.42
VT$8.73
WA$8.73
WI$8.73
WV$7.61
WY$7.42

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $45.75 to $104.30 depending on state and rural status.

StateNon-ruralRural
AK$99.24
AL$48.22$56.94
AR$48.22$56.94
AZ$45.85$56.94
CA$46.29$56.94
CO$48.48$52.09
CT$52.34$56.94
DC$45.75$56.94
DE$45.75$56.94
FL$48.22$52.09
GA$48.22$56.94
HI$104.30
IA$46.60$56.94
ID$48.48$55.60
IL$47.69$56.94
IN$47.69$56.94
KS$46.60$56.94
KY$48.22$52.09
LA$48.22$56.94
MA$52.34$55.82
MD$45.75$52.09
ME$52.34$55.82
MI$47.69$52.09
MN$46.60$55.52
MO$46.60$56.94
MS$48.22$56.94
MT$48.48$52.09
NC$48.22$56.94
ND$46.60$52.80
NE$46.60$56.94
NH$52.34$55.82
NJ$45.75$56.94
NM$45.85$52.09
NV$46.29$52.09
NY$45.75$52.74
OH$47.69$52.09
OK$45.85$56.94
OR$46.29$56.94
PA$45.75$52.09
PR$67.42
RI$52.34$56.94
SC$48.22$55.77
SD$46.60$52.80
TN$48.22$56.94
TX$45.85$52.09
UT$48.48$56.94
VA$48.22$53.74
VI$52.74
VT$52.34$55.82
WA$46.29$56.94
WI$47.69$56.94
WV$48.22$54.76
WY$48.48$52.80

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $56.12 to $115.61 depending on state and rural status.

StateNon-ruralRural
AK$109.82
AL$61.38
AR$61.38
AZ$61.38
CA$61.38
CO$56.12
CT$61.38
DC$61.38
DE$61.38
FL$56.12
GA$61.38
HI$115.61
IA$61.38
ID$59.85
IL$61.38
IN$61.38
KS$61.38
KY$56.12
LA$61.38
MA$60.10
MD$56.12
ME$60.10
MI$56.12
MN$59.76
MO$61.38
MS$61.38
MT$56.12
NC$61.38
ND$56.65
NE$61.38
NH$60.10
NJ$61.38
NM$56.12
NV$56.12
NY$56.57
OH$56.12
OK$61.38
OR$61.38
PA$56.12
PR$73.39
RI$61.38
SC$60.04
SD$56.65
TN$61.38
TX$56.12
UT$61.38
VA$57.72
VI$56.57
VT$60.10
WA$61.38
WI$61.38
WV$58.88
WY$56.65

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $52.10 to $155.99 depending on state and rural status.

Former-CBA payment limits: ceiling $61.29 · floor $52.10

StateNon-ruralRural
AK$145.89
AL$61.29
AR$61.29
AZ$61.29
CA$61.29
CO$52.10
CT$61.29
DC$61.29
DE$61.29
FL$52.10
GA$61.29
HI$155.99
IA$61.29
ID$58.62
IL$61.29
IN$61.29
KS$61.29
KY$52.10
LA$61.29
MA$59.06
MD$52.10
ME$59.06
MI$52.10
MN$58.44
MO$61.29
MS$61.29
MT$52.10
NC$61.29
ND$53.03
NE$61.29
NH$59.06
NJ$61.29
NM$52.10
NV$52.10
NY$52.89
OH$52.10
OK$61.29
OR$61.29
PA$52.10
PR$82.25
RI$61.29
SC$58.96
SD$53.03
TN$61.29
TX$52.10
UT$61.29
VA$54.90
VI$52.89
VT$59.06
WA$61.29
WI$61.29
WV$56.91
WY$53.03
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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