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Indiana rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $851.14 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $295.12 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $562.34