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Indiana rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $54.58 / $54.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $54.58 / $57.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $78.66 / $87.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $69.44 / $91.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $65.92 / $114.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $58.46 / $105.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $57.98 / $99.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $43.67 / $65.69