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Indiana rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.21 / $868.21 / $868.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.72 / $868.21 / $921.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.04 / $1,033.06 / $1,293.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.27 / $154.35 / $1,850.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.27 / $168.38 / $1,942.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $1,359.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $697.80 / $1,084.50