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Indiana rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $70.79 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $20.89 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $27.54 / $40.74