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Indiana rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,574.55 / $3,574.55 / $3,574.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.02 / $3,574.55 / $3,783.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,115.95 / $4,316.60 / $5,404.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.44 / $638.59 / $7,609.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.12 / $696.65 / $7,989.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $5,591.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.64 / $2,859.96 / $4,444.85