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Indiana rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.77 / $315.77 / $315.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.12 / $315.77 / $335.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.37 / $375.58 / $469.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.38 / $66.34 / $672.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $61.25 / $807.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $172.77 / $421.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.19 / $197.13 / $328.33