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Indiana rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $107 · 10th–90th $13$1820%20%10th90th$107Professionalmedian $107 · 10th–90th $83$1580%20%10th90th$107$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $173.78 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $128.82 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $186.21 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $67.61 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $91.20 / $154.88