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Indiana rates for HCPCS E2631

Wheelchair Accessory Addition To Mobile Arm Support Elevating Proximal Arm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.09 / $207.09 / $207.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $206.14 / $221.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.83 / $292.11 / $326.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.34 / $241.32 / $318.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.37 / $244.78 / $415.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $235.41 / $391.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $244.43 / $378.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.62 / $165.73 / $241.32