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Indiana rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.06 / $14.06 / $14.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $13.92 / $14.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $19.96 / $22.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $18.16 / $23.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $16.73 / $28.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $15.73 / $26.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $24.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $11.26 / $18.73