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Indiana rates for HCPCS E2616

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.66 / $383.66 / $383.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $383.66 / $395.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.70 / $526.47 / $588.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.08 / $539.53 / $712.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.82 / $467.21 / $824.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $463.23 / $769.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.09 / $376.09 / $376.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.68 / $376.09 / $712.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $307.08 / $527.86