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Indiana rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,317.25 / $2,317.25 / $2,317.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.21 / $2,317.25 / $2,638.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.46 / $2,583.84 / $3,278.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.56 / $411.48 / $3,481.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.74 / $379.82 / $3,418.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $2,416.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.07 / $1,237.56 / $2,375.33