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Indiana rates for HCPCS K0003

Lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.57 / $383.57 / $383.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $342.68 / $427.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.56 / $264.56 / $317.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.22 / $332.22 / $599.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $68.64 / $571.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $50.78 / $599.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.77 / $330.77 / $396.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $330.77 / $506.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.59 / $259.63 / $422.32