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Indiana rates for HCPCS E1280

Heavy Duty Wheelchair Detachable Arms (Desk Or Full Length) Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.93 / $1,125.93 / $1,125.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.47 / $1,047.30 / $1,186.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.70 / $995.59 / $1,263.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $236.59 / $2,399.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.29 / $218.39 / $2,879.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.03 / $511.03 / $511.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.44 / $511.03 / $1,330.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.49 / $702.28 / $1,028.61