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Indiana rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.90 / $338.90 / $338.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.39 / $338.90 / $362.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.65 / $458.44 / $512.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.43 / $398.43 / $525.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.22 / $422.59 / $752.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $403.38 / $691.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $668.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $271.30 / $459.56