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Indiana rates for HCPCS K0816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.14 / $2,462.14 / $2,462.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.87 / $2,462.14 / $2,803.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.15 / $2,655.12 / $3,504.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.95 / $430.39 / $3,641.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $397.28 / $3,575.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,254.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $2,254.90 / $3,230.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.20 / $1,315.08 / $2,599.80