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Indiana rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Facilitymedian $20 · 10th–90th $2–$360%20%10th90th$20Professionalmedian $19 · 10th–90th $14–$290%10%20%10th90th$19$1.0$2.0$5.0$10.0$20.0$50.0

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $37.15 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $13.80 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.38 / $27.54