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Indiana rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.89 / $366.89 / $366.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.61 / $363.56 / $367.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.57 / $517.26 / $577.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.94 / $482.22 / $636.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $433.45 / $751.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $417.61 / $693.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $358.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $358.71 / $636.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $219.39 / $391.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.01 / $293.61 / $484.98