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Indiana rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Facilitymedian $21 · 10th–90th $2–$360%20%10th90th$21Professionalmedian $20 · 10th–90th $16–$300%20%10th90th$20$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $38.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $13.49 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $25.70