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Indiana rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.10 / $945.10 / $945.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.73 / $945.10 / $1,000.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.66 / $1,189.97 / $1,489.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.57 / $169.75 / $1,982.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $181.51 / $2,081.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $1,519.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $756.24 / $1,197.97