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Indiana rates for HCPCS E0957

Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.04 / $92.04 / $92.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $92.04 / $104.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.07 / $129.22 / $144.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $132.35 / $174.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $108.30 / $187.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $105.88 / $174.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.65 / $94.65 / $124.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $94.65 / $174.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $73.66 / $122.99