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Indiana rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple 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
$6,349.20 / $6,349.20 / $6,349.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,512.10 / $6,349.20 / $6,739.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.00 / $2,600.00 / $4,667.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,396.58 / $9,731.99 / $12,164.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.38 / $1,334.13 / $11,288.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.06 / $1,231.50 / $11,083.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,488.00 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.59 / $4,232.09 / $12,846.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.16 / $3,413.20 / $5,570.10