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Indiana rates for HCPCS E2217

Manual Wheelchair Accessory Foam Filled Caster Ti Re Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $30.85 / $36.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.51 / $45.90 / $51.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $45.00 / $56.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $37.79 / $70.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $34.40 / $62.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $55.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $25.53 / $39.68