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Indiana rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $19.25 / $19.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $19.25 / $21.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $26.79 / $35.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $23.32 / $40.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $20.22 / $37.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $35.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $15.52 / $25.84