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Indiana rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.49 / $130.49 / $130.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.20 / $130.49 / $135.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.91 / $183.43 / $204.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.31 / $153.44 / $202.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $152.63 / $264.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.43 / $149.69 / $246.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $83.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $83.15 / $239.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $104.44 / $153.44