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Indiana rates for HCPCS E1240

Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.89 / $825.89 / $825.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.87 / $792.00 / $940.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.99 / $781.38 / $1,031.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.77 / $173.54 / $1,759.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.77 / $160.19 / $2,111.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $1,044.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.92 / $551.35 / $856.88