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Indiana rates for HCPCS E2221

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

Facilitymedian $21 · 10th–90th $2–$360%20%10th90th$21Professionalmedian $20 · 10th–90th $15–$280%20%10th90th$20$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$15.14 / $19.95 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $39.81 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $13.49 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.60 / $26.30