go back

Indiana rates for HCPCS E1100

Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.26 / $897.26 / $897.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.15 / $797.84 / $897.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.44 / $694.20 / $916.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.46 / $184.92 / $1,912.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.27 / $174.04 / $2,294.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.90 / $999.36 / $1,052.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.95 / $555.48 / $813.50