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Indiana rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $40.83 / $40.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $40.83 / $42.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.90 / $55.40 / $61.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $58.96 / $77.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $48.75 / $84.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $48.75 / $83.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $77.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $32.69 / $57.68