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Indiana rates for HCPCS E1170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.14 / $772.14 / $772.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.79 / $696.68 / $807.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.50 / $677.51 / $894.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.56 / $162.25 / $1,645.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.13 / $149.77 / $1,974.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.16 / $766.64 / $1,027.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.07 / $477.85 / $700.15