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Indiana rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.74 / $974.74 / $974.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.30 / $974.74 / $1,136.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.74 / $961.80 / $1,251.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.43 / $204.82 / $2,077.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.41 / $189.06 / $2,492.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,445.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.41 / $672.13 / $1,003.53