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Indiana rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.76 / $1,093.76 / $1,093.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.56 / $972.60 / $1,093.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.30 / $846.26 / $1,117.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.16 / $225.41 / $2,330.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.91 / $212.15 / $2,796.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $1,456.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.02 / $677.06 / $991.52