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Indiana rates for HCPCS E1093

Wide Heavy Duty Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Footrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.37 / $955.37 / $955.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.73 / $850.75 / $1,014.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.58 / $838.37 / $1,106.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.45 / $197.16 / $2,035.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.37 / $185.30 / $2,442.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $707.88 / $707.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.66 / $707.88 / $1,120.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.22 / $591.34 / $883.01