go back

Indiana rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.42 / $99.84 / $101.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.38 / $143.16 / $159.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $134.63 / $177.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $119.98 / $207.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $116.59 / $192.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $100.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $177.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $81.47 / $135.41