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Pennsylvania rates for HCPCS K0001

Standard wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.01 / $232.15 / $278.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.04 / $257.30 / $287.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $514.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.39 / $193.40 / $407.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $180.11 / $180.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.75 / $207.65 / $255.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $514.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.39 / $193.40 / $407.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.30 / $359.00 / $532.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $58.66 / $349.09