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Indiana rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.84 / $692.84 / $692.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.28 / $616.08 / $692.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.80 / $608.02 / $802.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.79 / $142.77 / $1,476.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.79 / $134.38 / $1,771.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $687.90 / $812.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.27 / $428.98 / $640.47