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Indiana rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.08 / $1,960.08 / $1,960.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.37 / $1,960.08 / $2,075.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.20 / $1,505.20 / $2,905.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.18 / $1,505.20 / $2,027.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.63 / $404.95 / $4,205.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.77 / $420.53 / $4,415.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.50 / $1,950.00 / $2,825.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.55 / $1,253.32 / $2,233.77