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Indiana rates for HCPCS E1180

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.01 / $876.01 / $876.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.28 / $808.62 / $916.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.64 / $768.71 / $975.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.26 / $184.07 / $1,866.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $169.91 / $2,239.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.45 / $344.45 / $344.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.05 / $344.45 / $1,027.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.28 / $529.34 / $793.44