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Indiana rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.72 / $139.72 / $139.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.77 / $119.48 / $158.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $217.57 / $290.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.19 / $158.84 / $177.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $276.92 / $354.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $168.53 / $376.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $150.85 / $380.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $130.52 / $310.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $120.45 / $265.50