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Indiana rates for HCPCS E2386

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

Facilitymedian $85 · 10th–90th $10–$1450%20%10th90th$85Professionalmedian $89 · 10th–90th $66–$1350%20%10th90th$89$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $128.82 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $194.98 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $60.26 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $81.28 / $131.83