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Indiana rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.12 / $1,598.12 / $1,598.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.94 / $1,598.12 / $1,819.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.65 / $2,311.87 / $2,583.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.28 / $1,901.61 / $2,510.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.54 / $1,937.26 / $3,358.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.54 / $1,679.02 / $3,099.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $2,649.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.25 / $1,265.95 / $1,848.76