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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
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,479.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $1,230.27 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $588.84 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,047.13