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Pennsylvania rates for HCPCS K0012

Lightweight portable motorized/power wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.95 / $2,285.82 / $2,880.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,312.88 / $4,350.80 / $4,350.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.05 / $2,225.05 / $2,225.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.29 / $2,225.05 / $6,576.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.95 / $2,285.82 / $2,880.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.05 / $2,225.05 / $2,225.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $2,225.05 / $6,576.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.16 / $4,141.10 / $4,321.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.41 / $1,832.03 / $3,902.15