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Indiana rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.95 / $347.95 / $347.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $347.95 / $368.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.79 / $382.79 / $420.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.60 / $430.61 / $568.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.92 / $61.64 / $734.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $67.25 / $771.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $562.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $278.39 / $485.71