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Pennsylvania rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.00 / $490.35 / $713.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.28 / $472.80 / $608.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $766.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.00 / $750.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $61.74 / $449.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.45 / $475.39 / $606.34
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $766.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.75 / $750.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.10 / $761.20 / $1,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.72 / $456.41 / $825.65