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Indiana rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.84 / $35.84 / $35.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $35.65 / $36.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.15 / $50.02 / $55.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.86 / $48.36 / $63.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $41.92 / $73.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $41.87 / $68.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $63.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $21.89 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $28.69 / $48.64