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Indiana rates for HCPCS K0842

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,469.05 / $3,469.05 / $3,469.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.06 / $3,469.05 / $3,949.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.98 / $2,945.98 / $3,982.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.65 / $640.05 / $5,415.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.02 / $590.82 / $5,317.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $3,621.85 / $3,621.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.80 / $1,852.20 / $3,322.06