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Indiana rates for HCPCS E0984

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.68 / $1,403.68 / $1,403.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.64 / $1,403.68 / $1,727.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.39 / $1,997.01 / $2,496.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.86 / $294.95 / $2,991.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.47 / $272.27 / $3,589.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.62 / $1,639.62 / $1,639.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.66 / $1,639.62 / $2,198.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.93 / $1,022.29 / $1,705.19