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Indiana rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $29.36 / $35.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.44 / $49.22 / $54.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.21 / $47.77 / $63.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $41.37 / $73.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $41.37 / $68.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $63.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.25 / $48.03