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Indiana rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.37 / $326.37 / $326.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $326.37 / $339.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.86 / $393.87 / $492.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $64.00 / $607.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $64.00 / $637.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $642.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $148.91 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $170.42 / $303.97