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Indiana rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.27 / $47.27 / $47.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $47.27 / $48.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $64.23 / $71.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $68.05 / $89.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $58.79 / $103.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $56.51 / $96.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $89.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $37.84 / $68.43