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Indiana rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,139.09 / $2,139.09 / $2,139.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.47 / $2,139.09 / $2,354.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.45 / $2,245.57 / $2,964.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.18 / $414.48 / $3,649.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.24 / $382.60 / $3,443.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.09 / $2,225.09 / $2,225.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.15 / $2,225.09 / $2,291.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.71 / $1,141.68 / $1,898.33