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Indiana rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.01 / $26.01 / $26.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $24.75 / $26.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $35.50 / $39.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $31.34 / $41.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $29.93 / $52.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $31.24 / $52.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $51.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $20.51 / $32.14