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Indiana rates for HCPCS K0863

Power Wheelchair Group 3 Very Heavy Duty Multiplepower Option Sling/Solid Seat/Back Patient Weight Capacity 451 To 600

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,236.10 / $11,236.10 / $11,236.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,754.64 / $11,236.10 / $11,927.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.83 / $13,370.01 / $16,712.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.30 / $2,360.98 / $19,977.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.49 / $2,179.37 / $19,614.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.89 / $11,155.72 / $11,155.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.88 / $5,788.20 / $9,387.73