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Indiana rates for HCPCS E2220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $34.67 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $38.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $13.49 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $16.60 / $25.70