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Indiana rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $2,570.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $1,071.52 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $776.25 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,548.82