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Indiana rates for HCPCS E2219

Manual wheelchair accessory, foam caster tire, 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 / $32.65
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
$32.85 / $38.65 / $51.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $38.46 / $66.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $34.40 / $61.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $54.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $25.53 / $37.32