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Indiana rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $346.74 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $537.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $407.38 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $223.87 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $398.11