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Indiana rates for HCPCS E1232

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.67 / $1,848.67 / $1,848.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.90 / $1,848.67 / $1,962.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.09 / $2,199.53 / $2,749.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.35 / $388.44 / $4,033.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $358.56 / $4,840.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.64 / $1,219.64 / $1,219.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.69 / $1,219.64 / $2,469.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.43 / $1,257.65 / $2,009.70