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Indiana rates for HCPCS E2212

Manual Wheelchair Accessory Tube For Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.84 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $6.96 / $7.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.95 / $7.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $5.84 / $10.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $5.24 / $9.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.88 / $5.56