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Indiana rates for HCPCS K0839

Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.12 / $5,177.12 / $5,177.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,980.57 / $5,177.12 / $5,893.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,329.99 / $4,388.00 / $5,781.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.82 / $969.09 / $8,199.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.54 / $894.54 / $8,050.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,470.13 / $5,470.13 / $5,470.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.88 / $5,470.13 / $5,470.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.59 / $2,763.88 / $4,874.20