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Indiana rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.97 / $497.97 / $497.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.57 / $497.97 / $566.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.84 / $534.79 / $668.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.24 / $104.64 / $1,061.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.32 / $96.59 / $1,273.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $779.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $362.57 / $531.33