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New York rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.36 / $606.34 / $815.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.74 / $408.43 / $520.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $1,311.83
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.91 / $100.91 / $1,311.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.75 / $750.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.17 / $818.97 / $818.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.97 / $1,090.50 / $1,158.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.75 / $750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.94 / $485.63 / $825.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.50 / $1,090.50 / $1,090.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.97 / $1,090.50 / $1,158.66