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Indiana rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.86 / $258.86 / $258.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.43 / $215.16 / $287.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.00 / $416.80 / $521.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.01 / $91.30 / $1,106.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.08 / $75.84 / $1,328.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $495.32 / $625.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $255.56 / $417.14