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Indiana rates for HCPCS E1234

Wheelchair Pediatric Size Tilt-N-Space Folding Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.45 / $1,667.45 / $1,667.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.82 / $1,447.60 / $1,770.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.24 / $1,984.08 / $2,355.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.00 / $350.38 / $3,638.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.19 / $323.42 / $4,366.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $2,227.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,134.22 / $1,722.13