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Indiana rates for HCPCS E1298

Special wheelchair seat depth and/or width, by construction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.22 / $366.22 / $366.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.24 / $366.22 / $388.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.62 / $529.78 / $591.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.07 / $321.33 / $443.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.63 / $443.94 / $780.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.48 / $503.14 / $819.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.50 / $292.50 / $292.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $292.50 / $607.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.34 / $278.68 / $380.85