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Indiana rates for HCPCS E2293

Back Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.99 / $412.99 / $412.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $412.99 / $446.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $357.47 / $446.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.50 / $472.50 / $472.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $296.00 / $471.86