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Indiana rates for HCPCS E1238

Wheelchair, pediatric size, folding, adjustable, without 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
$740.96 / $1,416.55 / $1,503.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.40 / $1,685.57 / $2,000.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.28 / $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
$975.26 / $975.26 / $975.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.97 / $975.26 / $1,892.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.40 / $884.30 / $1,496.17