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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
$1,621.81 / $1,621.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $2,884.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,445.44 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $870.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,737.80