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Indiana rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.99 / $1,011.99 / $1,011.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.04 / $934.14 / $1,058.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.29 / $887.98 / $1,170.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.27 / $212.64 / $2,156.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $196.28 / $2,587.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,347.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $626.41 / $973.56