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Washington rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.50 / $419.28 / $641.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.63 / $2,481.55 / $2,522.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.52 / $408.43 / $1,094.13
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 / $556.54 / $750.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $504.00 / $504.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $504.00 / $504.00
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
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.53 / $73.53 / $73.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $415.99 / $1,481.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.08 / $126.08 / $153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.78 / $456.41 / $662.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.43 / $408.43 / $930.08