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Indiana rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.72 / $398.72 / $398.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.41 / $398.72 / $442.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.86 / $611.08 / $763.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.17 / $155.36 / $1,205.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $129.07 / $1,411.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $806.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.83 / $393.64 / $654.04