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Indiana rates for HCPCS E1235

Wheelchair Pediatric Size Rigid Adjustable With Seating System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.70 / $1,605.70 / $1,605.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.90 / $1,605.70 / $1,704.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.53 / $1,752.53 / $1,752.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.18 / $1,910.52 / $2,388.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.67 / $337.39 / $3,503.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.69 / $311.44 / $4,204.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.60 / $1,436.52 / $1,436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.04 / $1,436.52 / $2,521.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.29 / $1,002.54 / $1,695.84