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Oregon rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.78 / $411.78 / $411.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.24 / $419.28 / $447.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $1,410.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.21 / $1,217.18 / $1,320.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.40 / $403.45 / $1,485.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $50.40 / $125.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.10 / $926.19 / $1,259.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.10 / $926.19 / $939.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.40 / $403.45 / $1,485.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $73.40 / $654.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.78 / $397.78 / $662.97