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Indiana rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), 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
$12.88 / $19.05 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $33.88 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $39.81 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $13.49 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.60 / $25.70