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Indiana rates for HCPCS E2294

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.70 / $275.70 / $275.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $275.70 / $275.70
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
$226.63 / $226.63 / $226.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $226.63 / $471.86