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Indiana rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $147.91 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $79.43 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $158.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $50.12 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $97.72