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Indiana rates for HCPCS K0831

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $3,424.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,168.48 / $3,473.99 / $4,342.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.10 / $776.74 / $7,767.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $4,585.67 / $4,893.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.20 / $1,565.64 / $3,275.17