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Manual Wheelchair Accessory, Foam Filled Caster Tire

Indiana rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $4$540%20%10th90th$32Professionalmedian $32 · 10th–90th $25$550%20%10th90th$32$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
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$39.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$67.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$56.23
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$20.42
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.30
Typical High
$40.74