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Indiana rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $173.78 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $186.21 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $67.61 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $91.20 / $128.82