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Indiana rates for HCPCS E0301

Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.43 / $1,405.43 / $1,405.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.50 / $1,047.26 / $1,510.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.50 / $1,467.50 / $2,832.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.55 / $1,467.50 / $1,977.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.30 / $254.96 / $2,647.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.70 / $264.76 / $2,780.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.35 / $1,491.30 / $2,075.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.55 / $807.20 / $1,570.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.32 / $1,025.81 / $1,741.16