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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
$10,771.60 / $10,771.60 / $10,771.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,351.43 / $10,771.60 / $11,434.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,835.89 / $8,544.87 / $11,279.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.75 / $2,263.39 / $15,997.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.70 / $2,089.28 / $18,362.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.52 / $10,694.63 / $10,694.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.36 / $5,532.48 / $7,748.26