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Indiana rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $512.86 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $346.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $707.95