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Indiana rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $43.65 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $51.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $51.29 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $16.98 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.38 / $32.36