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Indiana rates for HCPCS E1231

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.72 / $1,751.72 / $1,751.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.72 / $1,751.72 / $2,550.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,844.50 / $2,305.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.52 / $237.52 / $2,375.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.67 / $783.67 / $2,434.73