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Indiana rates for HCPCS K0823

Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,662.47 / $2,662.47 / $2,662.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.50 / $2,662.47 / $3,031.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.98 / $2,079.98 / $3,710.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.54 / $435.18 / $3,682.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.59 / $401.70 / $3,615.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.69 / $2,290.69 / $3,236.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $2,290.69 / $3,236.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.70 / $306.18 / $2,041.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.55 / $1,422.64 / $3,092.27