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Indiana rates for HCPCS E1020

Residual limb support system for wheelchair, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $145.80 / $145.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $134.58 / $154.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $137.69 / $137.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.15 / $188.24 / $210.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.63 / $215.79 / $284.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $29.29 / $267.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $29.51 / $280.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $123.98 / $126.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $123.98 / $242.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $97.66 / $206.90