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Indiana rates for HCPCS K0849

Power Wheelchair Group 3 Standard Captains Chairpatient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,677.95 / $5,677.95 / $5,677.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,929.32 / $5,677.95 / $6,027.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,603.41 / $4,504.27 / $5,945.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.42 / $1,193.08 / $10,095.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.54 / $1,101.30 / $9,911.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $3,087.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $3,790.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.68 / $2,873.24 / $4,107.99