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Indiana rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,158.43 / $4,158.43 / $4,158.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.82 / $3,164.26 / $4,491.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.68 / $4,428.68 / $8,547.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.53 / $4,428.68 / $5,966.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.97 / $770.35 / $7,999.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.69 / $799.98 / $8,399.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $422.50 / $422.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.92 / $4,550.34 / $5,908.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.06 / $2,984.62 / $4,979.87