go back

Indiana rates for HCPCS E2384

Power Wheelchair Accessory Pneumatic Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.09 / $51.29 / $51.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.27 / $70.54 / $78.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.38 / $71.73 / $94.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $62.13 / $109.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $62.08 / $102.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $94.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.51 / $41.05 / $72.15