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Indiana rates for HCPCS E1090

High-strength lightweight wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.02 / $673.02 / $673.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.33 / $673.02 / $746.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.70 / $676.70 / $982.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.01 / $264.38 / $2,880.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.97 / $219.64 / $3,456.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $360.90 / $360.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.77 / $360.90 / $1,295.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.18 / $660.91 / $1,084.90