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Indiana rates for HCPCS E2202

Manual Wheelchair Accessory Nonstandard Seat Frame Width 24-27 Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.28 / $354.28 / $354.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.23 / $354.28 / $370.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.98 / $490.52 / $548.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.88 / $426.29 / $562.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.81 / $422.19 / $745.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $422.19 / $695.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $464.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $679.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.16 / $283.55 / $440.69