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Indiana rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $49.85 / $49.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $49.27 / $49.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.31 / $69.45 / $77.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $67.53 / $89.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $58.46 / $103.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $58.46 / $96.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $48.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $89.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $39.90 / $67.92