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Indiana rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.81 / $90.81 / $90.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $88.09 / $90.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.07 / $129.22 / $144.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $116.41 / $153.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.72 / $108.29 / $187.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $100.80 / $173.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $88.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $156.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $72.67 / $117.08