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Indiana rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,466.14 / $6,466.14 / $6,466.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,613.58 / $6,466.14 / $6,863.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $6,770.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.61 / $1,358.70 / $11,496.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.35 / $1,254.18 / $11,287.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.99 / $3,818.66 / $3,933.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.79 / $3,321.12 / $4,636.50