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Indiana rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $31 · 10th–90th $4–$560%20%10th90th$31Professionalmedian $31 · 10th–90th $22–$450%20%10th90th$31$2.0$5.0$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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $38.02 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $57.54 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $21.38 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $42.66