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Indiana rates for HCPCS E0272

Mattress, foam rubber

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.13 / $114.13 / $114.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.40 / $102.50 / $122.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.82 / $153.87 / $171.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.31 / $127.78 / $176.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $128.94 / $223.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $135.38 / $206.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.30 / $120.30 / $120.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $120.30 / $188.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.66 / $91.36 / $159.25