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Indiana rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,175.40 / $10,175.40 / $10,175.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,833.77 / $10,175.36 / $10,801.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,675.22 / $8,071.90 / $10,654.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.28 / $2,138.10 / $14,961.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.05 / $1,973.63 / $17,346.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.41 / $10,102.62 / $10,102.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.73 / $5,241.80 / $7,361.86