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Indiana rates for HCPCS K0890

Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $7,874.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $10,569.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,485.20 / $9,488.16 / $11,860.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,872.04 / $6,872.04 / $6,872.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $7,313.48