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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
$652.76 / $652.76 / $652.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.55 / $652.76 / $724.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.60 / $1,072.35 / $1,179.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.01 / $232.93 / $2,852.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.82 / $193.51 / $3,423.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.40 / $1,249.04 / $1,578.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.60 / $641.00 / $1,071.28