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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
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.88 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $40.74 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $48.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $47.86 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $16.60 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $20.89 / $32.36