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Indiana rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.29 / $607.29 / $607.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.45 / $568.96 / $679.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.56 / $494.92 / $653.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.39 / $127.61 / $1,294.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.80 / $117.79 / $1,552.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $422.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $422.72 / $851.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $396.07 / $580.00