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Indiana rates for HCPCS E2222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.11 / $17.11 / $17.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $14.60 / $17.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $24.47 / $27.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $21.13 / $27.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $20.51 / $35.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $18.78 / $32.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $18.43 / $30.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.70 / $19.23