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Indiana rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $34.86 / $41.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.78 / $51.87 / $57.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $45.00 / $57.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $42.74 / $75.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $38.90 / $69.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $61.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $20.82 / $43.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $28.85 / $43.96