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Indiana rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.89 / $534.89 / $534.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.21 / $534.89 / $567.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.37 / $668.83 / $747.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.41 / $759.37 / $1,025.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.03 / $103.12 / $974.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $108.28 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $852.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $361.84 / $728.08