go back

Indiana rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,339.00 / $6,339.00 / $6,339.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,503.25 / $6,339.00 / $6,728.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,028.67 / $5,028.67 / $6,637.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.22 / $1,331.98 / $11,270.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.99 / $1,229.52 / $11,065.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.66 / $3,673.53 / $6,637.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.07 / $3,215.80 / $4,594.00