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Indiana rates for HCPCS K0879

Power wheelchair, group 4 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,932.50 / $6,932.50 / $6,932.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,932.50 / $6,932.50 / $6,932.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,236.00 / $8,068.53 / $10,085.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.52 / $1,771.59 / $14,990.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.22 / $1,655.76 / $14,717.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,650.46 / $10,650.46 / $10,650.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $540.54 / $540.54