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Pennsylvania rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.90 / $1,357.12 / $1,700.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.27 / $1,966.91 / $2,583.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $3,743.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.44 / $2,376.44 / $2,583.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.63 / $1,808.17 / $1,937.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.36 / $1,387.41 / $2,040.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $3,743.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.79 / $2,458.64 / $2,458.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.60 / $1,288.68 / $2,147.80