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Indiana rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,864.94 / $7,864.94 / $7,864.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,827.98 / $7,864.94 / $8,348.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,991.32 / $6,239.16 / $8,235.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.87 / $1,652.61 / $13,983.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.31 / $1,525.49 / $13,729.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.59 / $4,978.93 / $5,128.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.92 / $4,051.60 / $5,699.87