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Indiana rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $10,000.00 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $13,803.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $10,715.19 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,778.28 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,495.41 / $8,709.64