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Indiana rates for HCPCS E2388

Power Wheelchair Accessory Foam Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.01 / $36.01 / $36.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $36.01 / $38.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.78 / $51.87 / $57.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $44.66 / $58.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $43.47 / $75.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $38.70 / $69.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $61.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $44.97