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Indiana rates for HCPCS E2224

Manual Wheelchair Accessory Propulsion Wheel Excludes Tire Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.41 / $71.45 / $73.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.41 / $97.90 / $109.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $89.92 / $118.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $82.04 / $143.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $86.14 / $143.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $95.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $73.04 / $140.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $40.29 / $77.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $56.09 / $87.52