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Indiana rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.74 / $974.74 / $974.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.10 / $933.64 / $974.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.00 / $812.25 / $1,072.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.88 / $204.82 / $2,077.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.41 / $189.06 / $2,492.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.25 / $1,042.44 / $1,397.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.10 / $649.87 / $970.55