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Maryland rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.81 / $1,327.67 / $2,040.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.30 / $1,583.30 / $1,765.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $2,190.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,241.43 / $1,825.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.17 / $2,324.79 / $2,789.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.51 / $1,288.68 / $2,043.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.44 / $1,701.44 / $2,195.64