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Indiana rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.64 / $835.64 / $835.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.47 / $835.64 / $884.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.79 / $887.79 / $1,179.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $1,014.01 / $1,125.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.42 / $137.74 / $206.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $142.25 / $165.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $810.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $1,304.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $666.54 / $949.90