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Indiana rates for HCPCS E2391

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

Facilitymedian $14 · 10th–90th $2–$230%20%10th90th$14Professionalmedian $14 · 10th–90th $10–$190%10%20%10th90th$14$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $27.54 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $9.33 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $11.75 / $20.42