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Indiana rates for HCPCS K0669

Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $67.15 / $67.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.15 / $67.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $63.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $30.72 / $31.64