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Indiana rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $7.81 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.81 / $8.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $11.18 / $12.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $9.78 / $12.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $9.36 / $16.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $8.55 / $14.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $13.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $6.25 / $9.60