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Indiana rates for HCPCS E1089

High-strength lightweight wheelchair, fixed-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,621.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $575.44 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,071.52