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Indiana rates for HCPCS E1236

Wheelchair, pediatric size, folding, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.55 / $1,416.55 / $1,416.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.79 / $1,229.80 / $1,503.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.40 / $1,685.57 / $2,106.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.19 / $297.66 / $3,091.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $274.76 / $3,709.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.31 / $1,082.51 / $1,082.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.91 / $1,082.51 / $1,892.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.40 / $963.59 / $1,525.69