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Indiana rates for HCPCS E2217

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

Facilitymedian $32 · 10th–90th $4–$560%20%10th90th$32Professionalmedian $31 · 10th–90th $24–$680%10%20%10th90th$31$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $67.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $56.23 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $19.95 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $43.65