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Indiana rates for HCPCS E1084

Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.99 / $847.99 / $847.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.56 / $847.99 / $900.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.29 / $744.13 / $982.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.94 / $178.18 / $1,806.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.09 / $164.47 / $2,168.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.31 / $359.59 / $1,128.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.57 / $524.94 / $783.72