go back

Alaska rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.84 / $1,268.84 / $1,268.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.75 / $674.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.16 / $528.90 / $815.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.39 / $115.39 / $115.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.50 / $1,005.20 / $1,499.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.16 / $551.85 / $815.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.75 / $674.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.72 / $852.38 / $1,818.24