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Indiana rates for HCPCS E0373

Nonpowered advanced pressure reducing mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.73 / $2,173.73 / $2,173.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.98 / $2,173.73 / $2,374.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.98 / $1,751.98 / $3,381.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.98 / $1,751.98 / $3,686.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.70 / $291.17 / $4,367.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.38 / $302.37 / $3,174.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.49 / $3,685.49 / $3,685.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $3,685.49 / $3,685.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.97 / $219.15 / $1,559.52