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Indiana rates for HCPCS E1228

Special back height for wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $239.88 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $131.83 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $257.04