go back

Kentucky rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $891.25 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $81.28 / $616.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $933.25 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $83.18 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $346.74 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $616.60