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Indiana rates for HCPCS E2621

Positioning Wheelchair Back Cushion Planar Back With Lateral Supports Width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.89 / $361.89 / $361.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.13 / $361.89 / $377.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.38 / $467.38 / $467.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.11 / $496.34 / $554.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.12 / $509.55 / $672.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $441.26 / $778.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $436.73 / $726.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.55 / $354.55 / $465.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $354.55 / $672.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.58 / $289.67 / $512.47