go back

Oregon rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $660.69 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $125.89 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $295.12 / $1,122.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,258.93
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $512.86 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $562.34 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $467.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $660.69