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Wheelchair Accessory, Ventilator Tray, Gimbaled

Indiana rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Rates data updated October 2026.

How much does Wheelchair Accessory, Ventilator Tray, Gimbaled cost?

$1,023

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $603 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$871 to $1,023
FacilityA hospital or hospital-owned outpatient department$603$603 to $912

How much rates vary

Facilitymedian $603 · 10th to 90th $603 to $1,995Professionalmedian $1,023 · 10th to 90th $603 to $1,288
$200$500$1K$2Kfacility $603professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$870.96
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$602.56
Median
$645.65
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$102.33
Median
$102.33
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$776.25
Median
$776.25
Typical High
$851.14
CareSource
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$208.93
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$602.56
Typical High
$1,148.15
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$707.95
Typical High
$1,174.90
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
RR · Rental
Typical Low
$83.18
Median
$114.82
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$741.31
Typical High
$1,122.02
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$46.77
Median
$74.13
Typical High
$112.20
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$346.74
Median
$549.54
Typical High
$851.14

Where Indiana sits

The same service costs 9.5 times more in North Dakota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 12th of 51

$1,023

ND $1,622MS $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.