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Indiana rates for HCPCS K0815

Power wheelchair, group 1 standard, 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
$2,589.60 / $2,589.60 / $2,589.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.69 / $2,589.60 / $2,948.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.17 / $2,852.72 / $3,620.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.55 / $454.69 / $3,735.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.34 / $419.71 / $3,667.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,671.66 / $2,671.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.55 / $1,383.08 / $2,759.28